Provider Demographics
NPI:1811698467
Name:STONE, CHELSI LYNN (NP)
Entity type:Individual
Prefix:
First Name:CHELSI
Middle Name:LYNN
Last Name:STONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHELSI
Other - Middle Name:LYNN
Other - Last Name:STONE CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:613 W MARY ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4135
Mailing Address - Country:US
Mailing Address - Phone:310-600-7750
Mailing Address - Fax:
Practice Address - Street 1:613 W MARY ST UNIT A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-4135
Practice Address - Country:US
Practice Address - Phone:310-600-7750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021686363L00000X, 363LG0600X
TX1069352363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner