Provider Demographics
NPI:1790120335
Name:MCPHERSON, NAKESHA KAYDINE (APN-BC)
Entity Type:Individual
Prefix:
First Name:NAKESHA
Middle Name:KAYDINE
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 2ND ST
Mailing Address - Street 2:HARBORSIDE FINANCIAL CENTER PLAZA 10 SUITE 803
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3099
Mailing Address - Country:US
Mailing Address - Phone:551-225-5108
Mailing Address - Fax:
Practice Address - Street 1:3 2ND ST
Practice Address - Street 2:HARBORSIDE FINANCIAL CENTER PLAZA 10 SUITE 803
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3099
Practice Address - Country:US
Practice Address - Phone:551-225-5108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00491900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily