Provider Demographics
NPI:1346672243
Name:SKINNER, CHELSIE NOLAND (CRNP)
Entity Type:Individual
Prefix:
First Name:CHELSIE
Middle Name:NOLAND
Last Name:SKINNER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 347
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:AL
Mailing Address - Zip Code:35447-0347
Mailing Address - Country:US
Mailing Address - Phone:205-367-8111
Mailing Address - Fax:205-367-2121
Practice Address - Street 1:184 WILLIAM E HILL DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:AL
Practice Address - Zip Code:35447-0184
Practice Address - Country:US
Practice Address - Phone:205-367-8197
Practice Address - Fax:205-367-8198
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-117797364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health