1215554647 NPI number — MEAGAN DUVAL CHASTANT-QUALLS FNP

Table of content: MEAGAN DUVAL CHASTANT-QUALLS FNP (NPI 1215554647)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215554647 NPI number — MEAGAN DUVAL CHASTANT-QUALLS FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHASTANT-QUALLS
Provider First Name:
MEAGAN
Provider Middle Name:
DUVAL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215554647
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7651 TCHULAHOMA RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTHAVEN
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38671-9227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-349-0980
Provider Business Mailing Address Fax Number:
662-349-0990

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7651 TCHULAHOMA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTHAVEN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38671-9227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-349-0980
Provider Business Practice Location Address Fax Number:
662-349-0990
Provider Enumeration Date:
07/01/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  CHAS-Q9QY9E , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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