Individual
CHANTELLE RENEE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 E MICHIGAN AVE STE 307, JACKSON, MI 49201-1850
(517) 205-1594
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 999-5829
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704316273
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704316273
MI
363LF0000X
Family Nurse Practitioner
4704316273
MI
Other
Enumeration date
04/04/2024
Last updated
03/30/2026
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