Provider Demographics
NPI:1013272293
Name:JAMES, NKPOIKANA ISAAC
Entity Type:Individual
Prefix:MRS
First Name:NKPOIKANA
Middle Name:ISAAC
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 MOLER AVE
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-2006
Mailing Address - Country:US
Mailing Address - Phone:937-520-8835
Mailing Address - Fax:
Practice Address - Street 1:9115 SURREY GATE PL
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-9280
Practice Address - Country:US
Practice Address - Phone:937-520-8835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.444099163WM0705X
OHPN.148857-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0068158Medicaid