Individual provider · Type 1 NPI

Chanelle Injeh Kunseh Fombo, NP

Acute Care Nurse Practitioner · Greenville, TX

NPI number 1851968614 Active

Practice location

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852

Mailing address

501 Air Park Ave
Greenville, TX 75402-3000

Other practice locations

  • 1 Medical Center Blvd, Cookeville, TN 38501-4294 · (938) 528-2541
  • 400 Sentara Cir Ste 201A, Williamsburg, VA 23188-5716 · (757) 984-3975

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0024188872 (VA)
Acute Care Nurse Practitioner Primary 363LA2100X1019684 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1851968614

Chanelle Injeh Kunseh Fombo, NP's National Provider Identifier is 1851968614, issued on Jun 9, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Greenville, TX. The record was last updated on Feb 11, 2025.