Provider Demographics
NPI:1740449701
Name:CHAMBERS, ADRIENNE LYNNE (MSN, RN, CNS, CPNP)
Entity type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:LYNNE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MSN, RN, CNS, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7682 W COUNTY ROAD 550 N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:IN
Mailing Address - Zip Code:47272-9710
Mailing Address - Country:US
Mailing Address - Phone:765-525-9337
Mailing Address - Fax:
Practice Address - Street 1:2868 N PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-4125
Practice Address - Country:US
Practice Address - Phone:317-221-3518
Practice Address - Fax:317-221-8959
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000218A363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
251K00000XOtherPUBLIC HEALTH