Individual provider · Type 1 NPI
Tisungane Blessing Chiwembu, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Mobile, AL
NPI number
1013699172
Active
Practice location
3151-A Knollwood Drive, Mobile, Al 36693
Mobile, AL 36693
Fax (251) 602-9146
Mailing address
1200 Grande Oak Blvd Apt 1102
Saraland, AL 36571-3741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG06230192 (AL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1013699172
Tisungane Blessing Chiwembu, NURSE PRACTITIONER's National Provider Identifier is 1013699172, issued on Aug 7, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mobile, AL. The record was last updated on Aug 7, 2023.