Provider Demographics
NPI:1659109791
Name:CHASE-HENLEY, KAYLIN DAWN (FNP-C)
Entity type:Individual
Prefix:
First Name:KAYLIN
Middle Name:DAWN
Last Name:CHASE-HENLEY
Suffix:
Gender:F
Credentials:FNP-C
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 16
Mailing Address - Street 2:
Mailing Address - City:BUSHLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79012-0016
Mailing Address - Country:US
Mailing Address - Phone:806-310-9855
Mailing Address - Fax:806-310-9857
Practice Address - Street 1:102 US HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:PANHANDLE
Practice Address - State:TX
Practice Address - Zip Code:79068-7200
Practice Address - Country:US
Practice Address - Phone:806-532-2273
Practice Address - Fax:806-532-2276
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP1169533363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty