Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LUCILLE SHAMA NANKISSORE
Active Sole ProprietorMRS. LUCILLE SHAMA NANKISSORE is a Assisted Living Facility healthcare provider located in KISSIMMEE, Florida. NPI 1699179507 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · KISSIMMEE, FL
Registration Details
- NPI Number
- 1699179507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2014 (11.805391889566 yrs)
- Last Updated
- Oct 21, 2014
- License
-
AL12570 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2941 DANA LNKISSIMMEE, FL, 347445016Browse FL providers · Browse ZIP 34744
- Phone
- 4072014095
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in KISSIMMEE, FL
| Name | Credential | NPI |
|---|---|---|
| BRENDA THIGPEN | RN | 1053654376 |
| LAURA VAUGHN | — | 1588043061 |
| LILIAN MOKUA | — | 1366969610 |
| MARINA VILLEGAS | — | 1154804458 |
| MRS. UCILLA CROOKE | — | 1700342219 |
| MR. ANSON DELPE | ADMINISTRATOR | 1437612157 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.