Basic Information
| Provider Information | |||||||||
| NPI: | 1760686802 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ATKINS | ||||||||
| FirstName: | RAHSHIDA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | ATKINS | ||||||||
| OtherFirstName: | RAHSHIDA | ||||||||
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| OtherCredential: | APN-C | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 5 BLOSSOM DR | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | EWING | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086382003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126597111 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 890 BENNETTS MILLS RD | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085272736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7323677530 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2007 | ||||||||
| LastUpdateDate: | 01/26/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 26NJ00030900 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.