Individual
MRS. CHEVANNESE NORDEA HIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
138 MACDOUGAL ST, BROOKLYN, NY 11233-2625
(191) 772-3542
Mailing address
138 MACDOUGAL ST, BROOKLYN, NY 11233-2625
(917) 723-5429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F351454
NY
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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