MEDICARE: CHELSEA MANASCO FNP-C

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	37665	TN

General Provider Information

NPI Number	:	1952265167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA MANASCO FNP-C

Provider Business Mailing Address
First Line	:	5564 LITTLE DEBBIE PKWY STE 114
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-4333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5564 LITTLE DEBBIE PKWY STE 114
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-4333
Country	:	US
Telephone Number	:	423-602-9545
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ CHELSEA MANASCO FNP-C” Practice Location

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