Provider Demographics
NPI:1346095874
Name:HIJAZEEN, NOUR MUSHEER
Entity Type:Individual
Prefix:
First Name:NOUR
Middle Name:MUSHEER
Last Name:HIJAZEEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 TABERNASH DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-6029
Mailing Address - Country:US
Mailing Address - Phone:614-316-0004
Mailing Address - Fax:
Practice Address - Street 1:6805 AVERY MUIRFIELD DR STE 103
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7182
Practice Address - Country:US
Practice Address - Phone:614-792-6242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator