Nikita Hogan

Individual provider Active NPI Phlebotomy Technician · Tchula, MS

NPI 1184480477 · NPPES record last updated Feb 23, 2024

Key facts

NPI
1184480477
Entity type
Individual (NPI type 1)
Primary specialty
Phlebotomy Technician 246RP1900X
Practice address
304 Maple St
Tchula, MS 39169-3762
Phone
(662) 739-0074
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Yes

Addresses

Primary practice location

304 Maple St
Tchula, MS 39169-3762

Mailing address

PO Box 103
Tchula, MS 39169-0103

Other providers in Tchula, MS

All providers in Tchula, MS · Phlebotomy Technician in Mississippi

Sources for this page

Verify at the official NPI Registry.