Provider Demographics
NPI:1982235370
Name:CHESSER, KRISTY (FNP)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:CHESSER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 HOWARD XING
Mailing Address - Street 2:
Mailing Address - City:NAHUNTA
Mailing Address - State:GA
Mailing Address - Zip Code:31553-3438
Mailing Address - Country:US
Mailing Address - Phone:912-258-5121
Mailing Address - Fax:
Practice Address - Street 1:2500 STARLING ST STE 602
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4271
Practice Address - Country:US
Practice Address - Phone:912-265-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN169644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily