Provider Demographics
NPI:1548145931
Name:DAVIS ATKINS, SANIQUE R (LPN)
Entity type:Individual
Prefix:
First Name:SANIQUE
Middle Name:R
Last Name:DAVIS ATKINS
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 1:20 BORIG PL
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-1402
Mailing Address - Country:US
Mailing Address - Phone:862-271-4817
Mailing Address - Fax:
Practice Address - Street 1:20 BORIG PL APT 2
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-1402
Practice Address - Country:US
Practice Address - Phone:862-271-4817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP07668100164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse