| NPI | 1831346204 |
|---|---|
| Former Name | NIKKI RENEE CASTLEBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020014289) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1106348) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-07-11 |