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NPI Code Detail

MEDICARE: DR. FELICIA CHIZOMAM OJI DNP, CRNP

MEDICARE:  DR. FELICIA CHIZOMAM OJI  DNP, CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner1-104466AL
2363LG0600XGerontology Nurse Practitioner1-104466AL
3363LP2300XPrimary Care Nurse Practitioner1-104466AL
4363L00000XNurse Practitioner1-104466AL

General Provider Information

NPI Number : 1063933620
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FELICIA CHIZOMAM OJI DNP, CRNP
Provider Business Mailing Address
First Line : 100 E VANDIVER BLVD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36110-1812
Country : US
Telephone Number : 334-832-4338
Fax Number : 334-832-9971
Provider Business Practice Location Address
First Line : 100 E VANDIVER BLVD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36110-1812
Country : US
Telephone Number : 334-832-4338
Fax Number : 334-832-9971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2017
Last Update Date : 01/30/2020

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