Provider Demographics
NPI:1700051703
Name:KWAKYE, QUIENTELA LAJOYCE (DNP,FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:QUIENTELA
Middle Name:LAJOYCE
Last Name:KWAKYE
Suffix:
Gender:F
Credentials:DNP,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CROSS POINTE ROAD SUITE A
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230
Mailing Address - Country:US
Mailing Address - Phone:870-586-5278
Mailing Address - Fax:
Practice Address - Street 1:2443 SIR BARTON WAY STE 275
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2707
Practice Address - Country:US
Practice Address - Phone:859-523-1776
Practice Address - Fax:859-447-8287
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17562363LF0000X
GARN164980363LF0000X
KY3011524363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily