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Challis Madison Long, FNP-C
Family Nurse Practitioner in Midland, Texas
NPI 1861962391

Challis Madison Long is a Family Nurse Practitioner based in Midland, TX and is specialized in Family. Challis Madison Long practices in Midland, TX and has the professional credentials of FNP-C. The NPI Number for Challis Madison Long is 1861962391 and holds a License No. AP139265 (Texas).

The current practice location address for Challis Madison Long is 5615 Deauville Ste 240, Midland, TX and can be reached out via phone at 432-221-5560.

Location: 5615 Deauville Ste 240, Midland, TX, 79706-2709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861962391
Provider Name
Challis Madison Long
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5615 Deauville Ste 240, Midland, TX, 79706-2709
Phone Number
432-221-5560
Fax Number
Provider Enumeration Date
11/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP139265 01 TX STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5615 Deauville Ste 240
City
Midland
State
Texas
Zip
79706-2709
Phone Number
432-221-5560
Fax Number
person
Provider Business Mailing Address Details
Address
5615 Deauville Ste 240
City
Midland
State
Texas
Zip
79706-2709
Phone Number
432-221-5560
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP139265 (Texas)
Definition
Definition to come...
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