Individual
TISUNGANE BLESSING CHIWEMBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3151-A KNOLLWOOD DRIVE, MOBILE, AL 36693, MOBILE, AL 36693
(251) 661-7608
(251) 602-9146
Mailing address
1200 GRANDE OAK BLVD APT 1102, SARALAND, AL 36571-3741
(251) 533-0642
(251) 602-9146
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG06230192
AL
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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