Doctor Name: | PATRICIA E. CHISUM |
NPI Number: | 1164470266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 0050-03247 |
Business Practice Address: | 1302 Debbie Cir Kannapolis, NC - 280833932 |
Business Phone Number: | 7048070620 |
Business Fax Number: | |
Mailing Address: | 2300 Ramsey St, FAYETTEVILLE |
State: | NC |
Postal Code: | 283013856 |
Phone Number: | 7048070620 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0050-03247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |