Provider Demographics
NPI:1578172748
Name:SPIKES, TEMESHIA LASHA (FNP-C)
Entity Type:Individual
Prefix:
First Name:TEMESHIA
Middle Name:LASHA
Last Name:SPIKES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 COURT DR
Mailing Address - Street 2:STE 400
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2180
Mailing Address - Country:US
Mailing Address - Phone:704-473-5616
Mailing Address - Fax:
Practice Address - Street 1:2555 COURT DR STE 400
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2180
Practice Address - Country:US
Practice Address - Phone:704-864-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF07200910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily