Provider Demographics
NPI:1669047429
Name:BILLINGTON, LAKESHA (APRN-FNP-BC)
Entity type:Individual
Prefix:
First Name:LAKESHA
Middle Name:
Last Name:BILLINGTON
Suffix:
Gender:F
Credentials:APRN-FNP-BC
Other - Prefix:
Other - First Name:KESHA
Other - Middle Name:
Other - Last Name:BILLINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:PO BOX 4031
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75712
Mailing Address - Country:US
Mailing Address - Phone:903-892-1999
Mailing Address - Fax:
Practice Address - Street 1:7700 LAKEVIEW PKWY SUITE 100B
Practice Address - Street 2:SUITE 100B
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088
Practice Address - Country:US
Practice Address - Phone:903-892-1999
Practice Address - Fax:469-663-8225
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA222173363LF0000X
TX1019715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily