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Mr. Theotis Chappell JR.
Psychiatric/Mental Health Nurse Practitioner in South Daytona, Florida
NPI 1235817354

Theotis Chappell JR. is a Psychiatric/Mental Health Nurse Practitioner based in Atlanta, FL and is specialized in Psychiatric/Mental Health. Theotis Chappell JR. practices in South Daytona, FL. The NPI Number for Theotis Chappell JR. is 1235817354 and holds a License No. APRN11027332 (Florida).

The current practice location address for Theotis Chappell JR. is 927 Beville Rd Ste 7, South Daytona, FL and can be reached out via phone at 786-337-5715.

Location: 927 Beville Rd Ste 7, South Daytona, FL, 30305-2468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235817354
Provider Name
Theotis Chappell JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
927 Beville Rd Ste 7, South Daytona, FL, 30305-2468
Phone Number
786-337-5715
Fax Number
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
927 Beville Rd Ste 7
City
South Daytona
State
Florida
Zip
32119-1769
Phone Number
786-337-5715
Fax Number
person
Provider Business Mailing Address Details
Address
927 Beville Rd Ste 7
City
South Daytona
State
Florida
Zip
32119-1769
Phone Number
786-337-5715
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN11027332 (Florida)
Definition
Definition to come...
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