Provider Demographics
NPI:1790187888
Name:CHESSON, DAPHNE LYNN
Entity Type:Individual
Prefix:MS
First Name:DAPHNE
Middle Name:LYNN
Last Name:CHESSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:
Other - Last Name:CHESSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:108 PALADIN CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7243
Mailing Address - Country:US
Mailing Address - Phone:919-544-8396
Mailing Address - Fax:
Practice Address - Street 1:2010 SEDWICK RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-4452
Practice Address - Country:US
Practice Address - Phone:919-544-5807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist