Provider Demographics
NPI:1467571687
Name:CHANT, JUDITH F (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:F
Last Name:CHANT
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BACACITA FARMS RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5545
Mailing Address - Country:US
Mailing Address - Phone:325-695-6363
Mailing Address - Fax:
Practice Address - Street 1:302 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-4551
Practice Address - Country:US
Practice Address - Phone:325-675-0609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX600209363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily