Provider Demographics
NPI:1417848912
Name:CHUNN, CONSTANCE OLEITA (NP)
Entity type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:OLEITA
Last Name:CHUNN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2492 SILVER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33811-2828
Mailing Address - Country:US
Mailing Address - Phone:863-327-9142
Mailing Address - Fax:
Practice Address - Street 1:2492 SILVER VIEW DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33811-2828
Practice Address - Country:US
Practice Address - Phone:863-327-9142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF05250015363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner