Provider Demographics
NPI:1316795594
Name:CHAPMAN, CHRISTYL LYNNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTYL
Middle Name:LYNNE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CHRISTYL
Other - Middle Name:LYNNE
Other - Last Name:BULLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1317 BRYANVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-6433
Mailing Address - Country:US
Mailing Address - Phone:619-254-9924
Mailing Address - Fax:
Practice Address - Street 1:1317 BRYANVIEW CIR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-6433
Practice Address - Country:US
Practice Address - Phone:619-254-9924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023975363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care