Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1-104466 | AL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 1-104466 | AL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 1-104466 | AL |
N | 363LP2300X | Nurse Practitioner - Primary Care | 1-104466 | AL |
NPI | 1063933620 |
---|---|
Provider Name | Dr. Felicia Chizomam Oji |
First Address | Montgomery, AL 36110-1812 |
Second Address | Montgomery, AL 36110-1812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2017 |
Last Update Date | 30/01/2020 |