Provider Demographics
NPI:1073880951
Name:CHAMBERS, JJAYCE LYNN (RN)
Entity Type:Individual
Prefix:
First Name:JJAYCE
Middle Name:LYNN
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 HOSPITAL CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BROWNING
Mailing Address - State:MS
Mailing Address - Zip Code:59417-0730
Mailing Address - Country:US
Mailing Address - Phone:406-338-6230
Mailing Address - Fax:
Practice Address - Street 1:760 HOSPITAL CIRCLE
Practice Address - Street 2:
Practice Address - City:BROWNING
Practice Address - State:MS
Practice Address - Zip Code:59417-0730
Practice Address - Country:US
Practice Address - Phone:406-338-6230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT38505163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse