Provider Demographics
NPI:1174041958
Name:KNIGHT, TERRIKA RENEE (RN)
Entity Type:Individual
Prefix:
First Name:TERRIKA
Middle Name:RENEE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:TERRIKA
Other - Middle Name:R
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:873 LASSER DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2916
Mailing Address - Country:US
Mailing Address - Phone:757-942-5186
Mailing Address - Fax:
Practice Address - Street 1:5215 COLLEY AVE STE 134
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-2172
Practice Address - Country:US
Practice Address - Phone:757-271-3100
Practice Address - Fax:757-847-5007
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001254273163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health