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NPI Lookup from the NPI Registry — National Provider Identifier Database

CRYSTAL L CHAMBLEE, C-FNP – NPI #1275869950
Family


Contact Information

CRYSTAL L CHAMBLEE, C-FNP
303 W FRANKLIN ST
CARTHAGE, MS39051-3703
 Phone: 601-267-9658
 Fax: 601-267-5044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty
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NPI Profile & details for CRYSTAL L CHAMBLEE · (Female)

NPI Number 1275869950
Credentials C-FNP
Entity Individual
Enumeration date 10/30/2009
Last updated 03/31/2014 - About 10 months ago
Sole proprietor 1 No
Identifiers
MS License # R872575
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER-LEAKE - (Critical Access)
    310 ELLIS STREET
    CARTHAGE, MS 39051
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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