Doctor Name: | MS. CHARLE' CHANSON FRANCINNE AVERY |
NPI Number: | 1104006683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN RN ANP-BC GNP-BC |
License Number: | 531436 |
Business Practice Address: | 918 Cedar Ter Cedar Hill, TX - 751047908 |
Business Phone Number: | 9726796845 |
Business Fax Number: | |
Mailing Address: | 918 Cedar Ter, CEDAR HILL |
State: | TX |
Postal Code: | 751047908 |
Phone Number: | 9722912473 |
Fax Number: | 9722912473 |
NPI Enumeration Date: | 11/13/2007 |
NPI Last Update Date: | 04/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 531436 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |