Provider Demographics
NPI:1083244453
Name:WATSON, NAKISHA DARNEE' (RN)
Entity Type:Individual
Prefix:
First Name:NAKISHA
Middle Name:DARNEE'
Last Name:WATSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 WHITEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6817
Mailing Address - Country:US
Mailing Address - Phone:513-885-9179
Mailing Address - Fax:
Practice Address - Street 1:2375 WHITEWOOD LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-6817
Practice Address - Country:US
Practice Address - Phone:513-885-9179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.379262163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse