Provider Demographics
NPI:1922472778
Name:CHESNEY, REBEKAH ELIZABETH (PNP-AC, PNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:ELIZABETH
Last Name:CHESNEY
Suffix:
Gender:F
Credentials:PNP-AC, PNP-PC
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:ELIZABETH
Other - Last Name:OWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8650 SOUTHWESTERN BLVD
Mailing Address - Street 2:APT 3926
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-2611
Mailing Address - Country:US
Mailing Address - Phone:757-645-8866
Mailing Address - Fax:
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:844-424-4537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2023-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129592363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care