Individual
CHRISTLE CHENILLE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1114 6TH ST, MODESTO, CA 95354-2203
(662) 402-4134
Mailing address
640 DUDLEY DR, HERNANDO, MS 38632-2482
(662) 402-4134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007439
CA
363LF0000X
Family Nurse Practitioner
16876
TN
363LF0000X
Family Nurse Practitioner
A004450
AR
Other
Enumeration date
08/29/2012
Last updated
05/27/2026
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