Individual
AIMMEE ROCHELLE CHESTANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33 CHASTAIN LN, SUMRALL, MS 39482-7004
(601) 807-0921
Mailing address
33 CHASTAIN LN, SUMRALL, MS 39482-7004
(601) 807-0921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903721
MS
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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