Doctor Name: | MARY K CHAPMAN |
NPI Number: | 1386960151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 209008116 |
Business Practice Address: | 515 N Main St Suite C Anna, IL - 629061668 |
Business Phone Number: | 6188332872 |
Business Fax Number: | 6188332414 |
Mailing Address: | 515 N Main St, Suite C ANNA |
State: | IL |
Postal Code: | 629061668 |
Phone Number: | 6188332872 |
Fax Number: | 6188332414 |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 04/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209008116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |