Individual
MRS. KISHA LASHUN CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1043 STARLIGHT PL, ROCKWALL, TX 75087-2297
(214) 668-6505
Mailing address
1043 STARLIGHT PL, ROCKWALL, TX 75087-2297
(214) 668-6505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1067739
TX
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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