Provider Demographics
NPI:1598385940
Name:FORD-BATTLE, NEKIA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:NEKIA
Middle Name:
Last Name:FORD-BATTLE
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 1:104 N PLAINS DR
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-9110
Mailing Address - Country:US
Mailing Address - Phone:804-919-3769
Mailing Address - Fax:
Practice Address - Street 1:104 N PLAINS DR
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9110
Practice Address - Country:US
Practice Address - Phone:804-919-3769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-25
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002082250164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty