Provider Demographics
NPI:1639851579
Name:CHESTNUT, KARA AKEMI (WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:AKEMI
Last Name:CHESTNUT
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 SPRING HILL PKWY SE APT 1133
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6847
Mailing Address - Country:US
Mailing Address - Phone:718-809-2829
Mailing Address - Fax:
Practice Address - Street 1:3375 SPRING HILL PKWY SE APT 1133
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6847
Practice Address - Country:US
Practice Address - Phone:718-809-2829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN280890363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health