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NPI Code Detail

MEDICARE: HENRIETTA LEE CHAMBERS NP

MEDICARE: HENRIETTA LEE CHAMBERS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse073547LA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner04514LA
3363LF0000XFamily Nurse Practitioner04514LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255377313
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRIETTA LEE CHAMBERS NP
Provider Business Mailing Address
First Line : 302 HACKER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-4508
Country : US
Telephone Number : 337-330-2576
Fax Number : 337-417-9909
Provider Business Practice Location Address
First Line : 1409 CHURCH ST
Second Line :
City : JEANERETTE
State : LA
Zip : 70544-4407
Country : US
Telephone Number : 337-276-6018
Fax Number : 337-901-5805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 01/28/2026

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