Provider Demographics
NPI:1942442850
Name:ARMSTRONG, NIKKI LEE (FNP)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:LEE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 LA GRANGE RD UNIT 763
Mailing Address - Street 2:
Mailing Address - City:PEWEE VALLEY
Mailing Address - State:KY
Mailing Address - Zip Code:40056-5030
Mailing Address - Country:US
Mailing Address - Phone:937-657-0757
Mailing Address - Fax:
Practice Address - Street 1:5929 TIMBER RIDGE DR
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-8132
Practice Address - Country:US
Practice Address - Phone:937-657-0757
Practice Address - Fax:949-244-2850
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY36692.1465363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily