Provider Demographics
NPI:1558761668
Name:GREER, CHASSITY W (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHASSITY
Middle Name:W
Last Name:GREER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHASSITY
Other - Middle Name:
Other - Last Name:BLANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 698
Mailing Address - Street 2:
Mailing Address - City:BYHALIA
Mailing Address - State:MS
Mailing Address - Zip Code:38611-0698
Mailing Address - Country:US
Mailing Address - Phone:662-838-2163
Mailing Address - Fax:
Practice Address - Street 1:12 BRUNSWICK ST
Practice Address - Street 2:
Practice Address - City:BYHALIA
Practice Address - State:MS
Practice Address - Zip Code:38611-7000
Practice Address - Country:US
Practice Address - Phone:662-838-2163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN173411363LF0000X
MS901348363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily