Provider / Organization | NPI | Date Certified |
---|---|---|
KACI DANIELLE CHASON | 1962153544 | 2022-08-24 |
Kaci Danielle Chason is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962153544. Registration indicates Kaci Danielle Chason is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Kaci Danielle Chason ARNP |
Practice Office Address | 100 S KENTUCKY AVE STE 240 LAKELAND, FL US |
Practice Office Telephone | 8133676298 |
Practice Office Fax | 8635914744 |
Mailing Address | 100 S KENTUCKY AVE STE 240 LAKELAND, FL 338015093 US |
Business Telephone | 8632251244 |
Business Fax | 8635914744 |
Code | Practice | License No State |
---|---|---|
363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 11017630
FL |
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | RN9347074
FL |