Provider Demographics
NPI:1245583103
Name:CHANDLER, MEGAN SHERREE (RN FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:SHERREE
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:RN 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:P.O BOX 640
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:TX
Mailing Address - Zip Code:79782-0640
Mailing Address - Country:US
Mailing Address - Phone:432-607-3200
Mailing Address - Fax:432-607-3644
Practice Address - Street 1:600 EAST INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:TX
Practice Address - Zip Code:79782-0640
Practice Address - Country:US
Practice Address - Phone:432-607-3200
Practice Address - Fax:432-607-3681
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2021-08-23
Deactivation Date:2021-06-03
Deactivation Code:
Reactivation Date:2021-06-25
Provider Licenses
StateLicense IDTaxonomies
TX729139363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3429292Medicaid