Chisum, Nicole
Chisum, Nicole is an sole proprietor health care provider with primary practice located at 800 Medical Center Dr , Decatur TX 76234-3843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chisum, Nicole can be contacted via phone (940) 626-2110.Contact Information
Primary practice address
800 Medical Center Dr
Decatur TX 76234-3843
Phone: (940) 626-2110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1133002 | Texas |
Profile Details
| NPI number | 1497528491 |
|---|---|
| LBN Legal business name | Chisum, Nicole |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2023 |
| Last updated | Nov 1st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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