Provider Demographics
NPI:1558927293
Name:HELMS, NIKKI CHARISSE (LM, CPM, CLEC)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:CHARISSE
Last Name:HELMS
Suffix:
Gender:F
Credentials:LM, CPM, CLEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4523 CHESHIRE ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4022
Mailing Address - Country:US
Mailing Address - Phone:619-964-3901
Mailing Address - Fax:
Practice Address - Street 1:4523 CHESHIRE ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-4022
Practice Address - Country:US
Practice Address - Phone:619-964-3901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA571176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife