Provider Demographics
NPI:1568299865
Name:HUTCHINS, CHENEKA
Entity type:Individual
Prefix:
First Name:CHENEKA
Middle Name:
Last Name:HUTCHINS
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 1:3466 COURTRIGHT LN APT A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4285
Mailing Address - Country:US
Mailing Address - Phone:614-285-5627
Mailing Address - Fax:
Practice Address - Street 1:3805 EMERALD PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3317
Practice Address - Country:US
Practice Address - Phone:614-665-9792
Practice Address - Fax:614-665-9762
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH321431250405376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide