Individual
DEANZA CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8739 ADDISON CV, OLIVE BRANCH, MS 38654-6872
(901) 857-9182
Mailing address
8739 ADDISON CV, OLIVE BRANCH, MS 38654-6872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
36537
TN
363LF0000X
Family Nurse Practitioner
Primary
906602
MS
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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