Individual
CHELSEY C HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2217 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5311
(865) 982-0835
(865) 982-1109
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2335
TN
363AM0700X
Medical Physician Assistant
3039
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335
DO NOT HAVE ID'S YET- HAVE TO GET NPI FIRST
TN
05
—
3738PA
—
SC
Enumeration date
05/23/2013
Last updated
09/10/2020
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