Individual
CHENESSA CHRISTINE CHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 W BROADWAY AVE, ELK CITY, OK 73644-5223
(580) 303-0380
Mailing address
1011 W BROADWAY AVE, ELK CITY, OK 73644-5223
(580) 303-0380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0064619
OK
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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