Healthcare Provider Details

I. General information

NPI: 1629902028
Provider Name (Legal Business Name): CHELSEA DANIELLE MATTHEWS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA DANIELLE HACKNEY

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FAIR AVE
WINNSBORO LA
71295-2117
US

IV. Provider business mailing address

PO BOX 730
WINNSBORO LA
71295-0730
US

V. Phone/Fax

Practice location:
  • Phone: 318-435-8020
  • Fax: 318-435-8099
Mailing address:
  • Phone: 318-435-8020
  • Fax: 318-435-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number203395
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: