MEDICARE: MS. CHIDINMA JOY TOURAY APRN, AGACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	APRN11030757	FL
2	363L00000X	Nurse Practitioner	APRN11030757	FL

General Provider Information

NPI Number	:	1922862929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHIDINMA JOY TOURAY APRN, AGACNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 198441
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-8441
Country	:	US
Telephone Number	:	813-745-7365
Fax Number	:	813-449-8618

Provider Business Practice Location Address
First Line	:	12902 USF MAGNOLIA DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-9416
Country	:	US
Telephone Number	:	813-745-7365
Fax Number	:	813-449-8618

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

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	02/03/2026

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