Individual
IMMACULATA CHISOMNAZU AMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(904) 372-3943
Mailing address
7751 BELFORT PKWY STE 120, JACKSONVILLE, FL 32256-6921
(904) 372-3943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-187269
AL
363L00000X
Nurse Practitioner
Primary
1-187269
AL
Other
Enumeration date
03/18/2024
Last updated
02/23/2026
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