Wiley, Chantel N

Wiley, Chantel N is an individual health care provider with primary practice located at 10410 Plank Rd , Clinton LA 70722-3710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wiley, Chantel N can be contacted via phone (225) 683-8877.

Contact Information

Primary practice address
10410 Plank Rd Clinton LA 70722-3710
Phone: (225) 683-8877
Fax: (225) 683-1349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 219070 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 219070 Louisiana

Profile Details

NPI number 1134797988
LBN Legal business name Wiley, Chantel N
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2021
Last updated Mar 13th, 2024 - about 2 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 1134797988 NPPES
Louisiana Other 219070 APRN LICENSE

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