Individual
MS. CASEY JEANNE CHISUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14723 TURQUOISE TRL, WILLIS, TX 77378-6601
(281) 253-6646
Mailing address
14723 TURQUOISE TRL, WILLIS, TX 77378-6601
(281) 253-6646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
883143
TX
363LF0000X
Family Nurse Practitioner
Primary
883143
TX
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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