Organization
FHENIX WEIGHT LOSS FOREVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TISHAMBAY THOMPSON FNP (FNP)
(281) 770-9577
Entity
Organization
Contact information
Practice address
6130 LANDOVER RD, CHEVERLY, MD 20785-1022
(202) 715-6626
(765) 680-8654
Mailing address
13885 HEDGEWOOD DR STE 241, WOODBRIDGE, VA 22193-7931
(202) 715-6626
(765) 680-8654
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/03/2025
Last updated
08/12/2025
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