Provider Demographics
NPI:1427378157
Name:ARCHIE, NEKESHA LASHAE (RN)
Entity Type:Individual
Prefix:MS
First Name:NEKESHA
Middle Name:LASHAE
Last Name:ARCHIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:NEKESHA
Other - Middle Name:LASHAE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:325 CLUB ACRES BLVD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118-4114
Mailing Address - Country:US
Mailing Address - Phone:803-898-0127
Mailing Address - Fax:
Practice Address - Street 1:2020 HAMPTON ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1002
Practice Address - Country:US
Practice Address - Phone:803-898-0127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR98452163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health