Grace, Nikki Windham

Grace, Nikki Windham is an sole proprietor health care provider with primary practice located at 302 E James Lee Blvd , Crestview FL 32539-2827. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grace, Nikki Windham can be contacted via phone (850) 682-1002.

Contact Information

Primary practice address
302 E James Lee Blvd Crestview FL 32539-2827
Phone: (850) 682-1002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9268720 Florida

Profile Details

NPI number 1760729750
LBN Legal business name Grace, Nikki Windham
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2013
Last updated Feb 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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