Rikeisha Kennette Clinton, LVN

Individual provider Active NPI Licensed Vocational Nurse · Elgin, TX

NPI 1962687780 · NPPES record last updated May 6, 2008

Key facts

NPI
1962687780
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
177393 (TX)
Practice address
18421 Sun Haven CV
Elgin, TX 78621-6004
Phone
(512) 287-1838
NPI assigned
Dec 31, 2007
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

State licenses

LicenseStateTypeSpecialty
177393TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 177393 TX Yes

Addresses

Primary practice location

18421 Sun Haven CV
Elgin, TX 78621-6004

Mailing address

PO Box 824
Giddings, TX 78942-0824
Phone (512) 287-1838

Other providers in Elgin, TX

All providers in Elgin, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.