Individual
CHASITY R DEKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801
(903) 731-1153
Mailing address
2900 TX LOOP 256, PALESTINE, TX 75801-3133
(903) 731-1153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
696385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286870501
—
TX
05
—
286870502
—
TX
Enumeration date
11/07/2011
Last updated
04/11/2017
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