Individual
MRS. DEONN MICHELLE CHESTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4917
(765) 502-4023
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28163944A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007394A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28163944A
RN LICENSE
IN
01
—
71007394A
APN LICENSE
IN
Enumeration date
08/24/2017
Last updated
01/03/2023
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