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General NPI Number Information
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NPI Number | 1134797988
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Entity Type | Individual
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Provider Name | CHANTEL N WILEY FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 10202 PERKINS ROWE STE E-160
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City | BATON ROUGE
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State | LA
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Zip | 70810-2067
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Country | US
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Telephone | 225-460-4909
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Fax | 225-399-4590
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | ZACHARY
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State | LA
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Zip | 70791-0223
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Country | US
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Telephone | 225-460-4909
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Fax | 225-399-4590
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 219070
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 219070
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0105022-C-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0105022-C-NP
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License Number State | CO
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