DEALICE NIKITA YOUNG (NPI# 1205104387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205104387 |
| Entity Type | Individual |
| Full Name | DEALICE NIKITA YOUNG |
| Credential | RN |
| Practice Address |
160 Cypress St Tchula MS 39169 |
| Mailing Address |
Po Box 572 Tchula MS 39169-0572 |
| Practice Telephone | 6626704197 |
| Mailing Telephone | 6626704197 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2017-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
894906 | MS | Nursing Service Providers |
| Street Address |
160 CYPRESS ST |
| City | TCHULA |
| State | MS |
| Zip Code | 39169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457842585 | Heaven Sent Foot Healthcare, Plcc | Nursing Care | 160 Cypress Street, Tchula, MS 39169 | 2018-05-24 |
| 1417208422 | Doris Alexander | Adult Companion | 978 Main Street, Tchula, MS 39169 | 2012-10-01 |
| 1992946263 | The Myers Foundation Christian Family Health Centers | Specialist | 15548 Hwy. 49 East, Suite A, Tchula, MS 39169 | 2009-03-17 |
| 1447434642 | Thomas Ross | Audiologist | 605 Poplar St, Tchula, MS 39169 | 2007-12-24 |
| 1306038567 | Thomas Ross | Audiologist | 605 Poplar St., Tchula, MS 39169 | 2007-08-13 |
| 1881713519 | Mallory Community Health | Clinic/Center | 9715 Highway 12 W, Tchula, MS 39169 | 2007-03-27 |
| 1891829677 | Glenn Daniel Roberts | Pharmacist | 112 Mercer St, Tchula, MS 39169 | 2007-03-15 |
| 1013053842 | Gdr, Inc | Pharmacy | 112 Mercer Street, Tchula, MS 39169 | 2007-01-29 |
| 1821099482 | Rhonda Givens-boles | Nurse Practitioner | 110 Mercer Street, Tchula, MS 39169 | 2005-08-04 |
| 1487835567 | Candice Smith | Social Worker | 16067 M. L. K. Dr., Tchula, MS 39169-0518 | 2007-11-17 |
| Find all providers in zip 39169 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336784511 | Amy Whitehead Mcdonald | Registered Nurse | 35 Jones Rd, Natchez, MS 39120-8455 | 2019-11-12 |
| 1245894716 | Belinda Waldrop | Registered Nurse | 924 Pleasant Grove Dr Se, Monticello, MS 39654-3508 | 2019-04-30 |
| 1700373115 | Tiffany M Mattox-rubin | Registered Nurse | 4985 Forest Hill Rd S, Olive Branch, MS 38654-6008 | 2018-04-20 |
| 1346451556 | Deborah Allean Miller | Registered Nurse | 888 Allgood Rd, Decatur, MS 39327-9414 | 2007-05-28 |
| 1053633677 | Iyabo O Adebiyi | Registered Nurse | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-02-23 |
| 1073525929 | Emily Mollere Schulz | Registered Nurse | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-08-12 |
| 1730110008 | Sharon Beasley | Registered Nurse | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-05 |
Please comment or provide details below to improve the information on DEALICE NIKITA YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.