| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENISHA NIKITA HAMPTON | 1952068330 | 2021-11-20 |
Jenisha Nikita Hampton is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952068330. Registration indicates Jenisha Nikita Hampton is a provider of services with a specialization in Transportation Services, Non-emergency Medical Transport (VAN) (Non-emergency Medical Transport (VAN),, ) (Non-emergency Medical Transport (VAN),, Transportation Services)
| Entity Type | Individual |
| Provider Name | Mrs. Jenisha Nikita Hampton OWNER |
| Practice Office Address | 401 LACLEDE AVE APT 1 MEMPHIS, TN US |
| Practice Office Telephone | 9016791271 |
| Mailing Address | 401 LACLEDE AVE APT 1 MEMPHIS, TN 381266025 US |
| Business Telephone | 9016791271 |
| Code | Practice | License No State |
|---|---|---|
| 343900000X PRIMARY | Transportation Services Non-emergency Medical Transport (VAN), Non-emergency Medical Transport (VAN), Non-emergency Medical Transport (VAN), Transportation Services | 802119171
MS |
| 802119171 | MEDICAID | MS |