Healthcare Provider Details

I. General information

NPI: 1467097956
Provider Name (Legal Business Name): CHANDLER STENGEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2019
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6286 BRIARCREST AVE
MEMPHIS TN
38120-4023
US

IV. Provider business mailing address

290 DEERFIELD CV
SOMERVILLE TN
38068-1214
US

V. Phone/Fax

Practice location:
  • Phone: 901-259-1600
  • Fax: 901-259-1698
Mailing address:
  • Phone: 901-692-4047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA00446
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3974
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: