MEDICARE: CHENYA JOSEPH

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1174766	TX

General Provider Information

NPI Number	:	1699504910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENYA JOSEPH

Provider Business Mailing Address
First Line	:	132 NEEDLERUSH PL
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5330
Country	:	US
Telephone Number	:	662-310-2341
Fax Number	:	662-310-2341

Provider Business Practice Location Address
First Line	:	4800 REGENT BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2439
Country	:	US
Telephone Number	:	662-310-2341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	03/26/2026

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Directions to “ CHENYA JOSEPH ” Practice Location

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