Individual
MICHELLE M CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
910 E NORTHSIDE DR # 910E, JACKSON, MS 39206-5533
(866) 553-2659
(866) 553-2659
Mailing address
910 E NORTHSIDE DR # 910E, JACKSON, MS 39206-5533
(866) 553-2659
(866) 553-2659
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331219
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331219
NURSING LICENSE
MS
Enumeration date
10/05/2020
Last updated
10/05/2020
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