Keena Joy Ennis Chung in Austin - Acute Care
Keena Joy Ennis Chung - NPI 1245263805
Keena Joy Ennis Chung is a Acute Care in Austin, Texas. Keena Joy Ennis Chung practices all healthcare services and medical treatments related to Acute Care. The NPI Number for Keena Joy Ennis Chung is 1245263805. The last update date is 2023-03-07.
Keena Joy Ennis Chung's current location address is 4900 Mueller Blvd, Austin, Texas. You can contact this provider via phone number 5123240000 and fax number 5123240721. The mailing address for Keena Joy Ennis Chung is 4900 Mueller Blvd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Keena Joy Ennis Chung |
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Address | 4900 Mueller Blvd, Austin, Texas |
Phone Number | 5123240000 |
Fax Number | 5123240721 |
Sole Proprietor | N |
Credentials | CFNP, CPNP |
NPI Number Detail
NPI Number | 1245263805 |
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Provider Enumeration Date | 2006-07-08 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 4900 Mueller Blvd |
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City | Austin |
State | Texas (TX) |
Post Code | 78723 |
Phone Number | 5123240000 |
Fax Number | 5123240721 |
Provider's Primary Taxonomy Detail
Speciality | Acute Care |
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Taxonomy | 363La2100X |
Licence No | 741808 |
Definition: An advanced practice registered nurse expert in providing care to adults and older children with complex acute, critical, and chronic health conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
741808 | TX | LICENSE NUMBER | |
7770 | TX | PRESCRIPTIVE AUTHORITY | |
Y0195445 | TX | DPS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keena Joy Ennis Chung?
The Keena Joy Ennis Chung has been issued the NPI (National Provider Identifier) 1245263805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Keena Joy Ennis Chung?
The Keena Joy Ennis Chung is physically situated at 4900 Mueller Blvd, in the city of Austin, state of TX, with the postal code 78723.
What is Keena Joy Ennis Chung's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keena Joy Ennis Chung's area of specialization is Acute Care, and the corresponding taxonomy code that categorizes this field of practice is 363La2100X.
On what date did the Keena Joy Ennis Chung receive the assignment of its 1245263805 from the Centers for Medicare & Medicaid Services?
The Keena Joy Ennis Chung was issued its 1245263805 by the Centers for Medicare & Medicaid Services on 2006-07-08.
When was the information pertaining to Keena Joy Ennis Chung most recently updated or revised?
The details related to Keena Joy Ennis Chung, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.