Provider Demographics
NPI:1902516594
Name:SINGH, AKILAH JENDAYI (LPN)
Entity Type:Individual
Prefix:
First Name:AKILAH
Middle Name:JENDAYI
Last Name:SINGH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 AVENUE L NE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-2402
Mailing Address - Country:US
Mailing Address - Phone:863-397-7125
Mailing Address - Fax:
Practice Address - Street 1:348 AVENUE L NE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-2402
Practice Address - Country:US
Practice Address - Phone:863-397-7125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5252281164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse