Individual
CHASITY CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7514 KINGSLEY ST, HOUSTON, TX 77087-4412
(731) 394-1145
Mailing address
36 PEMBERTON CV, JACKSON, TN 38305-5514
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1000920
TX
363LF0000X
Family Nurse Practitioner
Primary
1000920
TX
Other
Enumeration date
04/03/2023
Last updated
05/08/2023
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