Healthcare Provider Details

I. General information

NPI: 1487302972
Provider Name (Legal Business Name): JESSICA CHATMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PHANTOM AVE
BATTLE CREEK MI
49037
US

IV. Provider business mailing address

75 PHANTOM AVE
BATTLE CREEK MI
49037
US

V. Phone/Fax

Practice location:
  • Phone: 269-969-3211
  • Fax: 269-969-3213
Mailing address:
  • Phone: 269-969-3211
  • Fax: 269-969-3213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704343951
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: