Individual provider · Type 1 NPI
Hibajene Chisonga
Family Nurse Practitioner · South Bend, IN
NPI number
1811327943
Active
Practice location
1700 Mishawaka Ave
South Bend, IN 46634-7111
Mailing address
1700 Mishawaka Ave
South Bend, IN 46615-1408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704262598 (MI) |
| Family Nurse Practitioner | 363LF0000X | 28181907A (IN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1811327943
Hibajene Chisonga's National Provider Identifier is 1811327943, issued on Nov 27, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Mar 7, 2019.