NPI Profile for QUANEISHA FORTSON in CHICAGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI Number | 1144906843 |
|
| Status | Active | |
| Credentials | FNP-BC (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/26/2023 | |
| Last updated | 03/12/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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QUANEISHA FORTSON
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