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FELECIA G ABDELFATTAH, APRN BC – NPI #1497768451
Family

NPI Profile for FELECIA G ABDELFATTAH in BRISTOL, TN.

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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 Specialty Code Provider Type

Family

 363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FELECIA G ABDELFATTAH · (Female)

NPI # 1497768451
Status Active
Credentials APRN BC
Entity Individual
Enumeration date 08/14/2006
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 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(s) Not Available
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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