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General NPI Number Information
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NPI Number | 1235680406
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Entity Type | Individual
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Provider Name | SHERITHA CHAMBLISS PMHNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 340 N SAM HOUSTON PKWY E STE A275
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City | HOUSTON
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State | TX
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Zip | 77060-3305
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Country | US
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Telephone | 832-797-1340
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Fax | 832-295-3287
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Provider Business Mailing Address
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Address Line | 19314 BRITTANY CREEK DR
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City | SPRING
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State | TX
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Zip | 77388-3099
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Country | US
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Telephone | 317-345-0880
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 817452
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP132449
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP132449
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License Number State | TX
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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 | 79229
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 15528
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License Number State | CT
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