Provider Demographics
NPI:1689111460
Name:GILCHRIEST, CHRIS HUE JR (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:HUE
Last Name:GILCHRIEST
Suffix:JR
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 DOGWOOD ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-5658
Mailing Address - Country:US
Mailing Address - Phone:409-289-2163
Mailing Address - Fax:
Practice Address - Street 1:541 DOGWOOD ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-5658
Practice Address - Country:US
Practice Address - Phone:409-289-2163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily