Organization
FHENIX WEIGHT LOSS FOREVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHAMBAY THOMPSON FNP (NP)
(703) 568-3876
Entity
Organization
Contact information
Practice address
13885 HEDGEWOOD DR STE 241, WOODBRIDGE, VA 22193-7931
(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
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
04/22/2026
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