Provider Demographics
NPI:1225009541
Name:COLLEY, CHEKESHA A (FNP)
Entity Type:Individual
Prefix:MS
First Name:CHEKESHA
Middle Name:A
Last Name:COLLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3144 KINGSMORE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-1455
Mailing Address - Country:US
Mailing Address - Phone:865-951-8895
Mailing Address - Fax:
Practice Address - Street 1:3144 KINGSMORE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-1455
Practice Address - Country:US
Practice Address - Phone:865-951-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 8347363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily