# JIMMY L CHENOWITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881353415
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 28178114A | IN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 71012070A | IN | Yes |

## Other

- **Enumeration date:** 12/10/2021
- **Last updated:** 03/03/2022