Smith-Steward Fason, Chante

Smith-Steward Fason, Chante is an individual health care provider with primary practice located at 6005 Park Ave Ste 630B , Memphis TN 38119-5226. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith-Steward Fason, Chante can be contacted via phone (901) 767-1136.

Contact Information

Primary practice address
6005 Park Ave Ste 630B Memphis TN 38119-5226
Phone: (901) 767-1136
Fax: (901) 767-0436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN0000007696 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000007696 Tennessee

Profile Details

NPI number 1902966765
LBN Legal business name Smith-Steward Fason, Chante
Credentials FNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jun 22nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902966765 NPPES
Tennessee MEDICAID 1519348

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