Provider Demographics
NPI:1164814331
Name:ISIAKA, KARIMOT KEHINDE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KARIMOT
Middle Name:KEHINDE
Last Name:ISIAKA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KARIMOT
Other - Middle Name:
Other - Last Name:DIKKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4733 MEADOW GREEN TRL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-2059
Mailing Address - Country:US
Mailing Address - Phone:214-385-2808
Mailing Address - Fax:214-382-0881
Practice Address - Street 1:4733 MEADOW GREEN TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-2059
Practice Address - Country:US
Practice Address - Phone:214-385-2808
Practice Address - Fax:214-382-0881
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127445363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily