Provider Demographics
NPI:1093472409
Name:MCKNIGHT, RASHIDA (LPN)
Entity Type:Individual
Prefix:
First Name:RASHIDA
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9131 INTERLINE AVE STE 5A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1957
Mailing Address - Country:US
Mailing Address - Phone:225-888-4520
Mailing Address - Fax:
Practice Address - Street 1:5928 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-3201
Practice Address - Country:US
Practice Address - Phone:800-676-0994
Practice Address - Fax:225-351-9205
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA20150850164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse