Healthcare Provider Details

I. General information

NPI: 1932082369
Provider Name (Legal Business Name): TRENESHA CHESTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11821 PARKMEADOW AVE
BATON ROUGE LA
70816-4624
US

IV. Provider business mailing address

11821 PARKMEADOW AVE
BATON ROUGE LA
70816-4624
US

V. Phone/Fax

Practice location:
  • Phone: 225-279-4688
  • Fax:
Mailing address:
  • Phone: 225-279-4688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number242767
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number124847
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: