HIBAJENE CHISONGA NPI 1811327943

NPI Information

NPI: 1811327943
Provider Name: HIBAJENE CHISONGA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1700 MISHAWAKA AVE
SOUTH BEND, IN
ZIP 46634
Phone: (574) 229-9012
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Hibajene Chisonga is a family nurse practitioner in South Bend, IN with 11 years of experience. Hibajene Chisonga NPI is 1811327943. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1700 MISHAWAKA AVE
SOUTH BEND, IN
ZIP 46634-111
Phone: (574) 229-9012

The NPI 1811327943 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/27/2013 and was last updated on 3/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704262598	MICHIGAN	Yes
2	363LF0000X	Nurse Practitioner	Family	28181907A	INDIANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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