| NPI | 1043823073 |
|---|---|
| Former Name | CHANTAL STUBBLEFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030469) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: OH RN.321246) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0030469) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.0030469) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-03-12 |