Dr. Evgeniya N Chisenhall, MD
Pediatrics in Jacksonville, North Carolina
1083060545- Practice location
- 120 Memorial Dr, Jacksonville, NC 28546
- Phone
- 910-353-0581
- Fax
- 910-577-1150
- Last updated
- November 3, 2023
Evgeniya Nikolaevna Chisenhall is a Pediatrics based in Jacksonville, NC. Evgeniya Nikolaevna Chisenhall practices in Jacksonville, NC and has the professional credentials of MD. The NPI Number for Evgeniya Nikolaevna Chisenhall is 1083060545 and holds a License No. 2019-02047 (NC). The current practice location address for Evgeniya Nikolaevna Chisenhall is 120 Memorial Dr, Jacksonville, NC 28546 and can be reached out via phone at 910-353-0581 and via fax at 910-577-1150.
Provider Profile Details
- NPI Number
- 1083060545
- Provider Name
- Evgeniya Nikolaevna Chisenhall
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Memorial Dr, Jacksonville, NC 28546
- Phone Number
- 910-353-0581
- Fax Number
- 910-577-1150
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2016
- Last Update Date
- November 3, 2023
- Certification Date
- November 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Memorial Dr
Jacksonville, NC 28546 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546
- Phone Number
- 910-353-0581
- Fax Number
- 910-577-1150
Provider Business Mailing Address Details
- Address
- Po Box 986513
Dept 100
Boston, MA 02298-6513 - City
- Boston
- State
- MA
- Zip
- 02298-6513
- Phone Number
- 910-219-8326
- Fax Number
- 910-939-4269
License Information
- License Number
- 2019-02047
- License State
- NC
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Jacksonville, NC
View all Pediatrics providers in Jacksonville →Frequently Asked Questions
What is the NPI number of Dr. Evgeniya N Chisenhall, MD?
The NPI number of Dr. Evgeniya N Chisenhall, MD is 1083060545. It was assigned on May 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Evgeniya N Chisenhall, MD?
Dr. Evgeniya N Chisenhall, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NC under license number 2019-02047.
Where does Dr. Evgeniya N Chisenhall, MD practice?
The practice location is 120 Memorial Dr, Jacksonville, NC 28546. The office can be reached at 910-353-0581 (phone) or 910-577-1150 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083060545 directly on the NPPES registry website.