Provider Demographics
NPI:1891449245
Name:BUNCH, CHELSEA LEIGH (FNP)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LEIGH
Last Name:BUNCH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:LEIGH
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1337 MILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SUNBRIGHT
Mailing Address - State:TN
Mailing Address - Zip Code:37872-2516
Mailing Address - Country:US
Mailing Address - Phone:423-539-5176
Mailing Address - Fax:
Practice Address - Street 1:207 E EMORY RD STE 103
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-4053
Practice Address - Country:US
Practice Address - Phone:865-343-6980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2299922163W00000X
TN31171363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse