Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanceline Tengomoh

Individual provider Licensed Practical Nurse · NPI 1114664562

Chanceline Tengomoh is a Licensed Practical Nurse in Fairfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

4 S Timber Hollow Dr Apt 413
Fairfield, OH 45014-7824
Phone: (402) 601-4728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 181030 (OH)

Record details

NPI number1114664562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address4 S Timber Hollow Dr Apt 413, Fairfield, OH 45014-7824

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