Provider Demographics
NPI:1801479217
Name:CHESSON, COURTNEY DIANE (NP)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:DIANE
Last Name:CHESSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:DIANE
Other - Last Name:ARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:HAMSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77622-0175
Mailing Address - Country:US
Mailing Address - Phone:409-782-6245
Mailing Address - Fax:
Practice Address - Street 1:4401 GARTH RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2122
Practice Address - Country:US
Practice Address - Phone:281-420-8600
Practice Address - Fax:281-420-8414
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1033822363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health