Provider Demographics
NPI:1407507114
Name:POKE, DARNESHA (LPN)
Entity Type:Individual
Prefix:
First Name:DARNESHA
Middle Name:
Last Name:POKE
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 1:378 MOWBRAY ARCH
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-3325
Mailing Address - Country:US
Mailing Address - Phone:434-709-5051
Mailing Address - Fax:
Practice Address - Street 1:378 MOWBRAY ARCH
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-3325
Practice Address - Country:US
Practice Address - Phone:434-709-5051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory