Provider Demographics
NPI:1992235469
Name:CHAPMAN, NIJAH ALISH (WHNP)
Entity type:Individual
Prefix:MS
First Name:NIJAH
Middle Name:ALISH
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 LANDFALL PASS NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-7736
Mailing Address - Country:US
Mailing Address - Phone:678-481-5507
Mailing Address - Fax:
Practice Address - Street 1:2665 N DECATUR RD STE 255
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6176
Practice Address - Country:US
Practice Address - Phone:470-226-1601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN228375363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health