Provider Demographics
NPI:1639937253
Name:PAPPAS, CHASITY (ACNP)
Entity type:Individual
Prefix:
First Name:CHASITY
Middle Name:
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-0277
Mailing Address - Country:US
Mailing Address - Phone:252-864-4089
Mailing Address - Fax:252-364-8322
Practice Address - Street 1:4 JOSH CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-0052
Practice Address - Country:US
Practice Address - Phone:910-577-3636
Practice Address - Fax:910-353-5635
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019742363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner