Individual
GRACE CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 HIGH ST STE 2001, WILLIAMSPORT, PA 17701-3102
(570) 321-2800
Mailing address
740 HIGH ST STE 2001, WILLIAMSPORT, PA 17701-3102
(570) 321-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA007473
PA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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