Provider Demographics
NPI:1245991504
Name:CHAMBERS, ALEXIS BIANCA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:BIANCA
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:504 SOUTH 1ST 1/2 STREET
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627
Mailing Address - Country:US
Mailing Address - Phone:803-913-0626
Mailing Address - Fax:409-835-7623
Practice Address - Street 1:3030 NORTH ST STE 560
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1424
Practice Address - Country:US
Practice Address - Phone:409-835-9834
Practice Address - Fax:409-835-7623
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1167739363LF0000X
390200000X
FLAPRN11020292363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program