Provider Demographics
NPI:1033383336
Name:CHAMBERS, CHERISH A (PA)
Entity Type:Individual
Prefix:
First Name:CHERISH
Middle Name:A
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 207830
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-7830
Mailing Address - Country:US
Mailing Address - Phone:888-412-2649
Mailing Address - Fax:405-792-8910
Practice Address - Street 1:944 OAK RIDGE TPKE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6917
Practice Address - Country:US
Practice Address - Phone:865-835-3810
Practice Address - Fax:865-835-3811
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2019-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN3067363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant