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Individual

MRS. JACQUELYNE KAY CHUMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC

Contact information

Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 252-9493
Mailing address
234 GONZALO CIR, EL PASO, TX 79932-2247
(915) 252-9493

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
864779
TX
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
CS00231176
NM
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
864779
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
864779
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
864779
TX
171000000X
Military Health Care Provider
174400000X
Specialist
2021100078
TX
363L00000X
Nurse Practitioner
41626
TX
363L00000X
Nurse Practitioner
5206
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1058669
TX

Other

Enumeration date
11/09/2021
Last updated
01/14/2026
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