Individual
REGINA DIANE CHISUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1902 HOSPITAL BLVD STE B, GAINESVILLE, TX 76240-2008
(940) 665-6679
(940) 665-8958
Mailing address
1902 HOSPITAL BLVD STE B, GAINESVILLE, TX 76240-2008
(940) 665-6679
(940) 665-8958
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
736657
TX
Other
Enumeration date
02/12/2014
Last updated
03/05/2014
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