Provider Demographics
NPI:1366976557
Name:KNIGHT, LA'KITA MARIA JOHNSON (FNP-C, MSN, BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:LA'KITA
Middle Name:MARIA JOHNSON
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:FNP-C, MSN, BSN, RN
Other - Prefix:
Other - First Name:LA'KITA
Other - Middle Name:MARIA
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, BS, RN
Mailing Address - Street 1:1010 EQUIPOISE DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-8493
Mailing Address - Country:US
Mailing Address - Phone:704-779-4326
Mailing Address - Fax:
Practice Address - Street 1:14121 PARKE LONG CT
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1647
Practice Address - Country:US
Practice Address - Phone:703-657-8523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC232250363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily