Provider Demographics
NPI:1124884911
Name:IVEY, CHEYENNE LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:LYNN
Last Name:IVEY
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2580 COLLIN MCKINNEY PKWY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5135
Mailing Address - Country:US
Mailing Address - Phone:361-877-8387
Mailing Address - Fax:
Practice Address - Street 1:13024 DALLAS PKWY STE 110
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4240
Practice Address - Country:US
Practice Address - Phone:469-489-4965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-06-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical