Charle' Chanson Francinne Avery, MSN RN ANP-BC GNP-BC

Individual provider Active NPI Adult Health Nurse Practitioner · Cedar Hill, TX

NPI 1104006683 · NPPES record last updated Apr 27, 2012

Key facts

NPI
1104006683
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
531436 (TX)
Practice address
918 Cedar Ter
Cedar Hill, TX 75104-7908
Phone
(972) 679-6845
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor University Medical Center Past Accepting new patients
Harold Wagner DO PA Past Accepting new patients
Indelible Health & Wellness LLC Past Accepting new patients
General Internal Medicine, PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 531436 TX Yes
Gerontology Nurse Practitioner 363LG0600X 531436 TX

Addresses

Primary practice location

918 Cedar Ter
Cedar Hill, TX 75104-7908

Mailing address

918 Cedar Ter
Cedar Hill, TX 75104-7908
Phone (972) 291-2473

Other identifiers

IdentifierTypeStateIssuer
8N7635OtherTXBCBS

Other providers in Cedar Hill, TX

All providers in Cedar Hill, TX · Adult Health Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.