Mary Ellen Chalker, RN
Individual provider Active NPI Community Health Registered Nurse · Louisville, GA
NPI 1114003241 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114003241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN029045 (GA)
- Practice address
- 2501 Highway One North
Louisville, GA 30434 - Phone
- (478) 625-3716
- Fax
- (478) 625-8201
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN029045 | GA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN029045 | GA | Yes |
Addresses
Primary practice location
2501 Highway One North
Louisville, GA 30434
Mailing address
820 Harper Street
Gibson,, GA 30810
Phone (706) 598-2545
Other providers in Louisville, GA
- Shawn W Brown
- Elizabeth Bryant
- Stacie D. Buckley
- Burke Hospital Company
- Krystina Anne Carrino-Morris
- Kimberly J Clarkbrake
- Regina G Cody
- Community Service Board of Middle Georgia
- Community Service Board of Middle Georgia
- Leigh Wren Davis
All providers in Louisville, GA · Community Health Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.