MR. MARLENA OCTAVIA KNIGHT


Address: 4237 S Pipkin Rd Bldg 1, Lakeland, FL 33811-1442
Phone: 8637012470

MR. MARLENA OCTAVIA KNIGHT (NPI# 1235627860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235627860
Entity Type Individual
Full Name MR. MARLENA OCTAVIA KNIGHT
Credential ARNP
Practice Address 4237 S Pipkin Rd Bldg 1
Lakeland
FL 33811-1442
Practice Telephone 8637012470
Practice Fax Number 8637012474
Mailing Telephone 8637012470
Mailing Fax Number 8637012474
Enumeration Date 2018-04-30
Last Update Date 2018-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP9224536 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4237 S PIPKIN RD BLDG 1
City LAKELAND
State FL
Zip Code 33811-1442

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508832312 Luanne Gravano Sadowsky Nurse Practitioner 6207 Silver Leaf Ln, Lakeland, FL 33813-2933 2006-02-23
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1942655592 Jessica Clement Nurse Practitioner 4315 Highland Park Blvd, Lakeland, FL 33813-1639 2016-05-02
1689029480 Equilla V Cherry Nurse Practitioner 1835 Gilmore Ave, Lakeland, FL 33805-3017 2016-04-28

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Competitor

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City LAKELAND
Zip Code 33811

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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