Healthcare Provider Details

I. General information

NPI: 1801479217
Provider Name (Legal Business Name): COURTNEY DIANE CHESSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS COURTNEY DIANE ARD

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 GARTH RD
BAYTOWN TX
77521-2122
US

IV. Provider business mailing address

PO BOX 175
HAMSHIRE TX
77622-0175
US

V. Phone/Fax

Practice location:
  • Phone: 281-420-8600
  • Fax: 281-420-8414
Mailing address:
  • Phone: 409-782-6245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1033822
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: