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GWENEVERE CHEW CFNP
NPI 1104093723
Nurse Practitioner - Family in Clarksdale, MS

Active since May 13, 2008
340 DESOTO AVENUE EXT, CLARKSDALE, MS 38614(662) 741-2151(662) 741-2700 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwenevere Chew Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENEVERE CHEW CFNP (NPI 1104093723) is an individual family provider in Clarksdale, Mississippi, licensed in Mississippi (R637211) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1104093723
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWENEVERE CHEWCredential: CFNP
Location Address340 DESOTO AVENUE EXTClarksdale, MS 38614-2814
Mailing Address400 Security SqGulfport, MS 39507-1932 · (662) 741-2151 · Fax (662) 741-2700
Phone(662) 741-2151
Fax(662) 741-2700
Sole ProprietorNo
Enumeration DateMay 13, 2008
Last NPPES UpdateJune 5, 2014
✔ NPI 1104093723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R637211
340 DESOTO AVENUE EXT, Clarksdale, MS 38614
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Other Identifiers 1

Medicare OSCAR/certificationP01623MS

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOLANDA GRADY
Physical Therapy Assistant
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Coahoma County (662) 627-3468
MS GREENBOUGH LLC
Skilled Nursing Facility
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Coahoma County (662) 627-3486
PENSACOLA HEALTH TRUST INC
Skilled Nursing Facility
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Coahoma County (662) 627-3486
340 DESOTO AVENUE EXT OPERATIONS, LLC
Skilled Nursing Facility
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Coahoma County (253) 278-2258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwenevere Chew's NPI number?

The NPI number for Gwenevere Chew is 1104093723. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Gwenevere Chew located?

Gwenevere Chew practices at 340 Desoto Avenue Ext, Clarksdale, MS 38614. The listed phone number is (662) 741-2151.

What is Gwenevere Chew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gwenevere Chew was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.