Doctor Name: | CHELSEY HENRY |
NPI Number: | 1093152688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2335 |
Business Practice Address: | 2497 S Roane St Suite 240 Harriman, TN - 377488670 |
Business Phone Number: | 8655900889 |
Business Fax Number: | |
Mailing Address: | 752 Settlers Pond Way, KNOXVILLE |
State: | TN |
Postal Code: | 379236397 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/23/2013 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 2335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |