Provider Demographics
NPI:1083387153
Name:HITCHCOCK, NIKKIA
Entity Type:Individual
Prefix:
First Name:NIKKIA
Middle Name:
Last Name:HITCHCOCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 5TH ST STE 1919
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-4152
Mailing Address - Country:US
Mailing Address - Phone:513-766-9510
Mailing Address - Fax:
Practice Address - Street 1:5103 HAWAIIAN TER APT 6
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-1131
Practice Address - Country:US
Practice Address - Phone:513-604-7692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health