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General NPI Number Information
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NPI Number | 1457244337
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Entity Type | Individual
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Provider Name | CHELSEY NICOLE KUPER APRN, FNP-C, RNFA
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 199 FOXRIDGE LN
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City | CARYVILLE
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State | TN
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Zip | 37714-3753
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Country | US
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Telephone | 309-397-7523
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Fax |
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Provider Business Mailing Address
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Address Line | 2681 ANDERSONVILLE HWY STE 102
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City | CLINTON
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State | TN
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Zip | 37716-6706
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Country | US
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Telephone | 865-494-5960
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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 | 248183
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 135
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License Number State | TN
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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 | 38885
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License Number State | TN
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