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Ms. Keena Joy Ennis Chung, CFNP,CPNP-AC
Nurse Practitioner in Austin, Texas
NPI 1245263805

Keena Joy Ennis Chung is a Nurse Practitioner based in Austin, TX. Keena Joy Ennis Chung practices in Austin, TX and has the professional credentials of CFNP,CPNP-AC. The NPI Number for Keena Joy Ennis Chung is 1245263805 and holds a License No. 741808 (Texas).

The current practice location address for Keena Joy Ennis Chung is 4900 Mueller Blvd, Austin, TX and can be reached out via phone at 512-324-0000 and via fax at 512-324-0721. You can also correspond with Keena Joy Ennis Chung through the mailing address at 4900 MUELLER BLVD, AUSTIN, TX - 78723 (mailing address contact number: 512-324-0000).

Location: 4900 Mueller Blvd, Austin, TX, 78723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245263805
Provider Name
Keena Joy Ennis Chung
Credential
CFNP,CPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
4900 Mueller Blvd, Austin, TX, 78723
Phone Number
512-324-0000
Fax Number
512-324-0721
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
741808 01 TX LICENSE NUMBER
7770 01 TX PRESCRIPTIVE AUTHORITY
Y0195445 01 TX DPS
institution
Provider Business Practice Location Address Details
Address
4900 Mueller Blvd
City
Austin
State
Texas
Zip
78723-3079
Phone Number
512-324-0000
Fax Number
512-324-0721
person
Provider Business Mailing Address Details
Address
4900 Mueller Blvd
City
Austin
State
Texas
Zip
78723-3079
Phone Number
512-324-0000
Fax Number
512-324-0721
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP115959 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
741808 (Texas)
Definition
Definition to come...
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