Provider Demographics
NPI:1487968608
Name:NANCE-CHASTAIN, CHRISTY E (PNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:E
Last Name:NANCE-CHASTAIN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 G STREET
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:925 G STREET
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2626
Practice Address - Country:US
Practice Address - Phone:559-595-1000
Practice Address - Fax:559-595-6322
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20020363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner