Individual
VIKITA CHISM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1523 HAVERWOOD AVE, MEMPHIS, TN 38116-7929
(904) 569-5744
Mailing address
1523 HAVERWOOD AVE, MEMPHIS, TN 38116-7929
(904) 569-5744
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN0000104719
TN
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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