| Doctor Name: | MARTHA MICHELLE CHAMBERS |
| NPI Number: | 1558503698 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R853537 |
| Business Practice Address: | 119 South Oak Street Suite 2 Raymond, MS - 39154 |
| Business Phone Number: | 6015260790 |
| Business Fax Number: | 6015260795 |
| Mailing Address: | Po Box 1186, RAYMOND |
| State: | MS |
| Postal Code: | 391541186 |
| Phone Number: | 6015260790 |
| Fax Number: | 6015260795 |
| NPI Enumeration Date: | 04/06/2009 |
| NPI Last Update Date: | 04/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R853537 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |