| Doctor Name: | TRACY L MOORE CHESTNUT |
| NPI Number: | 1154589547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 41051 State Route 517 Lisbon, OH - 444329354 |
| Business Phone Number: | 3302719553 |
| Business Fax Number: | 3304244921 |
| Mailing Address: | 41051 State Route 517, LISBON |
| State: | OH |
| Postal Code: | 444329354 |
| Phone Number: | 3302719553 |
| Fax Number: | 3304244921 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 374U00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Home Health Aide |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |