MEDICARE: CHATISY THOMAS NP

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	363LF0000X	Family Nurse Practitioner	AP07749	LA

General Provider Information

NPI Number	:	1912325218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHATISY THOMAS NP

Provider Business Mailing Address
First Line	:	9456 JEFFERSON HWY STE A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2883
Country	:	US
Telephone Number	:	225-999-2487
Fax Number	:	855-751-4092

Provider Business Practice Location Address
First Line	:	9456 JEFFERSON HWY STE A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2883
Country	:	US
Telephone Number	:	225-999-2487
Fax Number	:	855-751-4092

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

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	03/20/2026

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