Provider Demographics
NPI:1568233393
Name:CSIKI, JAMIE (LPN/LVN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:CSIKI
Suffix:
Gender:F
Credentials:LPN/LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 BROADWAY ST # 911
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-3942
Mailing Address - Country:US
Mailing Address - Phone:810-618-3938
Mailing Address - Fax:
Practice Address - Street 1:5058 SULLIVAN DR
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-3897
Practice Address - Country:US
Practice Address - Phone:810-618-3938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX303508164X00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No164X00000XNursing Service ProvidersLicensed Vocational Nurse