Provider Demographics
NPI:1063933620
Name:OJI, FELICIA CHIZOMAM (DNP, CRNP)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:CHIZOMAM
Last Name:OJI
Suffix:
Gender:F
Credentials:DNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E VANDIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36110-1812
Mailing Address - Country:US
Mailing Address - Phone:334-832-4338
Mailing Address - Fax:334-832-9971
Practice Address - Street 1:100 E VANDIVER BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36110-1812
Practice Address - Country:US
Practice Address - Phone:334-832-4338
Practice Address - Fax:334-832-9971
Is Sole Proprietor?:No
Enumeration Date:2017-07-04
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-104466363LA2200X, 363LG0600X, 363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care