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Individual
MRS. CHEKESHA R STALEY
Active
Individual
MRS. CHEKESHA R STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-131530-092
KS
363L00000X
Nurse Practitioner
Primary
1095562
TX
363L00000X
Nurse Practitioner
53-79639-092
KS
363LA2200X
Adult Health Nurse Practitioner
1095562
TX
363LA2200X
Adult Health Nurse Practitioner
53-79639-092
KS
Other
Enumeration date
07/23/2020
Last updated
07/31/2025
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