Provider Demographics
NPI:1801601562
Name:SUEK, CHESILIN (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHESILIN
Middle Name:
Last Name:SUEK
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 TRACTION ST UNIT 142
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-4725
Mailing Address - Country:US
Mailing Address - Phone:702-465-8741
Mailing Address - Fax:
Practice Address - Street 1:201 CENTRAL PARK LN
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-1156
Practice Address - Country:US
Practice Address - Phone:864-844-9432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29924363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health