Individual
CHELSEY PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EDWINA ST, EVERGREEN, AL 36401-3319
(251) 578-0278
(251) 578-1055
Mailing address
101 CRESTVIEW AVE, EVERGREEN, AL 36401-3333
(251) 578-2480
(251) 578-1055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-098965
AL
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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