Provider Demographics
NPI:1467636373
Name:NNAJI, CHIZOBA N (DNP, FNP, BC)
Entity Type:Individual
Prefix:DR
First Name:CHIZOBA
Middle Name:N
Last Name:NNAJI
Suffix:
Gender:F
Credentials:DNP, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4937 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TN
Mailing Address - Zip Code:38006-3483
Mailing Address - Country:US
Mailing Address - Phone:731-663-3530
Mailing Address - Fax:731-663-3531
Practice Address - Street 1:4937 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BELLS
Practice Address - State:TN
Practice Address - Zip Code:38006-3483
Practice Address - Country:US
Practice Address - Phone:731-663-3530
Practice Address - Fax:731-663-3531
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000013147363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370548Medicaid
TN3370248Medicare PIN