Provider Demographics
NPI:1881401586
Name:TCHAMDA, ROSETTE BIKE (PMHNP)
Entity type:Individual
Prefix:
First Name:ROSETTE
Middle Name:BIKE
Last Name:TCHAMDA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7842 PINEFROST LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3370
Mailing Address - Country:US
Mailing Address - Phone:901-238-8637
Mailing Address - Fax:
Practice Address - Street 1:7842 PINEFROST LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3370
Practice Address - Country:US
Practice Address - Phone:901-238-8637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN155393363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health