Individual
MRS. CHANISE JEANELL QUISENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5714 BURKHARDT RD, DAYTON, OH 45431-2930
(614) 544-2129
Mailing address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-2129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
451607
OH
Other
Enumeration date
04/23/2026
Last updated
04/26/2026
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