Chantel Lisette Dawkins, PMHNP-BC
Individual provider Active NPI Nurse Practitioner · Salisbury, NC
NPI 1992201164 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1992201164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5010423 (NC)
- Practice address
- 1904 Jake Alexander Blvd W Ste 303
Salisbury, NC 28147-1177 - Phone
- (704) 797-2442
- Fax
- (704) 797-2443
- NPI assigned
- Apr 4, 2018
- 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)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5010423 | NC | |
| Nurse Practitioner | 363L00000X | 5010423 | NC | Yes |
Addresses
Primary practice location
1904 Jake Alexander Blvd W Ste 303
Salisbury, NC 28147-1177
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 210-5061
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdawkins691288@direct.novanthealth.org |
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All providers in Salisbury, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. 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.