Provider Demographics
NPI:1316448889
Name:BENOY, CHELSEY JOELLE
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:JOELLE
Last Name:BENOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4829 OLD SHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76273-4924
Mailing Address - Country:US
Mailing Address - Phone:903-436-0498
Mailing Address - Fax:
Practice Address - Street 1:4829 OLD SHERMAN RD
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-4924
Practice Address - Country:US
Practice Address - Phone:903-436-0498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323215164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse