Individual
CHRISHON FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
3303 TULANE AVE # 3, NEW ORLEANS, LA 70119-7185
(504) 302-1323
(504) 324-4573
Mailing address
3303 TULANE AVE # 3, NEW ORLEANS, LA 70119-7185
(504) 302-1323
(504) 324-4573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30000354
LA
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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