DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHANTELLE RENEE DAWSON RN

MEDICARE: CHANTELLE RENEE DAWSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704316273MI
2363LF0000XFamily Nurse Practitioner4704316273MI
3363LA2200XAdult Health Nurse Practitioner4704316273MI

General Provider Information

NPI Number : 1467204016
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTELLE RENEE DAWSON RN
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number : 800-999-5829
Fax Number : 313-876-1305
Provider Business Practice Location Address
First Line : 1100 E MICHIGAN AVE STE 307
Second Line :
City : JACKSON
State : MI
Zip : 49201-1850
Country : US
Telephone Number : 517-205-1594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2024
Last Update Date : 03/30/2026

Similar Medicare Providers

1164418042 — ELIAS HAZZI MD
Practice Location Address:
1100 E MICHIGAN AVE STE 307
JACKSON, MI
49201-1850
Practice Phone: 517-205-1594
Practice Fax: 641-226-5024
1831164375 — MALCOLM TRIMBLE MD
Practice Location Address:
1100 E MICHIGAN AVE STE 307
JACKSON, MI
49201-1850
Practice Phone: 517-205-1594
Practice Fax: 517-205-1540
1699702944 — MEGAN MUKAVETZ P.A.
Practice Location Address:
1100 E MICHIGAN AVE STE 307
JACKSON, MI
49201-1850
Practice Phone: 517-205-7605
Practice Fax:
1689682551 — GANESH C KUDVA MD
Practice Location Address:
1100 E MICHIGAN AVE STE 307
JACKSON, MI
49201-1850
Practice Phone: 517-205-1594
Practice Fax:
1316058357 — KRISTEN SORROW NP
Practice Location Address:
1100 E MICHIGAN AVE STE 307
JACKSON, MI
49201-1850
Practice Phone: 517-205-1594
Practice Fax: 517-205-1540
1114170735 — JEFFREY H SHUHAIBER MD
Practice Location Address:
1100 E MICHIGAN AVE STE 307
JACKSON, MI
49201-1850
Practice Phone: 517-205-7605
Practice Fax:

Directions to “ CHANTELLE RENEE DAWSON RN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.