Provider Demographics
NPI:1740871102
Name:IVEY, CHELSY MORGAN (RN)
Entity type:Individual
Prefix:
First Name:CHELSY
Middle Name:MORGAN
Last Name:IVEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 COUNTY ROAD 26
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35652-5255
Mailing Address - Country:US
Mailing Address - Phone:256-783-2566
Mailing Address - Fax:
Practice Address - Street 1:3555 COUNTY ROAD 26
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35652-5255
Practice Address - Country:US
Practice Address - Phone:256-783-2566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-166982163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse