# MRS. JACQUELYNE KAY CHUMLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457017030
- **Gender:** F
- **Credential:** APRN-CNP, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 864779 | TX | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | CS00231176 | NM | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | 864779 | TX | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 864779 | TX | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 864779 | TX | — |
| 171000000X | Military Health Care Provider | — | NULL | — |
| 174400000X | Specialist | 2021100078 | TX | — |
| 363L00000X | Nurse Practitioner | 41626 | TX | — |
| 363L00000X | Nurse Practitioner | 5206 | NM | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1058669 | TX | Yes |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 09/17/2026