National Provider Identifier Database

FELECIA G ABDELFATTAH, APRN BC – NPI #1497768451
Family

Contact Information

FELECIA G ABDELFATTAH, APRN BC
1145 VOLUNTEER PKWY
BRISTOL, TN  37620-4652
Phone: 423-989-4500
Fax: 423-989-4582
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for FELECIA G ABDELFATTAH

NPI Number 1497768451
Credentials APRN BC
Entity Individual
Enumeration date 08/14/2006
Last updated 11/05/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • TN License #: 7668
  • VA License #: 0024164353
  • TN Medicaid: 3349063
  • TN Medicaid: 3729687
  • Other: 188508 COMPSYCH
  • Other: 351654200 DOL WORKERS COMP
  • Other: 620582605 HIGHLANDS WELLMONT
  • Other: 620582605 INITIAL GROUP
  • Other: 620582605 MENTAL HEALTH NETW
  • Other: 620582605 PHCS
  • Other: 620582605 THREE RIVERS PROVI
  • Other: 620582605 TRICARE SOUTH
  • Other: 620582605BE UBH JOHN DEERE
  • Other: 334969 VALUE OPTIONS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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