Latosha Brinkley King, RN
Individual provider Active NPI Registered Nurse · Fayette, MS
NPI 1689258956 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1689258956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 902693 (MS)
- Practice address
- 1581 Harriston Rd
Fayette, MS 39069-5439 - Phone
- (601) 597-5076
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902693 | MS | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 902693 | MS | Yes |
Addresses
Primary practice location
1581 Harriston Rd
Fayette, MS 39069-5439
Mailing address
PO Box 562
Fayette, MS 39069-0562
Phone (601) 597-5076
Other names
- Mrs. Latosha Brinkley King
Other providers in Fayette, MS
- Jefferson County Nursing Home
- Jefferson County Nursing Home Therapy
- Jefferson County School District
- Kaho Healthcare Training Facility, LLC
- Jermonique King
- Sharicka King
- Magnolia Personal Care LLC
- India Martin
- Aasaylah Mays
- McKenzie Healthcare Solution
All providers in Fayette, MS · Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.