MEDICARE: MRS. JENNIFER ALISANGCO TSCHANZ NP

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
1	163W00000X	Registered Nurse	623443	CA
2	163W00000X	Registered Nurse	0001308569	VA
3	363L00000X	Nurse Practitioner	17159	CA
4	363LF0000X	Family Nurse Practitioner	0024184069	VA

General Provider Information

NPI Number	:	1871791509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER ALISANGCO TSCHANZ NP

Provider Business Mailing Address
First Line	:	6350 CENTER DR STE 200
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-4107
Country	:	US
Telephone Number	:	757-213-5683
Fax Number	:	757-213-5762

Provider Business Practice Location Address
First Line	:	6251 E VIRGINIA BEACH BLVD STE 200
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-2800
Country	:	US
Telephone Number	:	757-466-8683
Fax Number	:	757-466-8892

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	09/02/2022

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