Individual
CHICQUTAR SYMONETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1027 JEFFERSONVILLE COMMONS DR, JEFFERSONVILLE, IN 47130-8395
(812) 288-0011
Mailing address
3004 SHERMAN DR, JEFFERSONVILLE, IN 47130-5928
(502) 797-5134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4008153
KY
363LF0000X
Family Nurse Practitioner
Primary
71015232A
IN
Other
Enumeration date
01/11/2024
Last updated
05/28/2024
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