JENNIFER L. CHAVIS CRNP
NPI 1689083735
Nurse Practitioner - Family in Glyndon, MD

Active since August 02, 2014
4821 BUTLER RD # 3C, GLYNDON, MD 21136(443) 801-5914 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 28, 2017 and 2 more (5 updates tracked since 2015).

About Jennifer L. Chavis Crnp NPPES

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

JENNIFER L. CHAVIS CRNP (NPI 1689083735) is an individual family provider in Glyndon, Maryland, licensed in Maryland (R189332) and active in the NPI registry since August 2014. She maintains a secondary practice location in Glyndon.

NPPES Registry Identity

NPI1689083735
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER L. CHAVISCredential: CRNP
Location Address4821 BUTLER RD # 3CGlyndon, MD 21136-5686
Mailing Address4617 Piney Grove RoadReisterstown, MD 21136 · (443) 801-5914
Sole ProprietorYes
Enumeration DateAugust 2, 2014
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPI 1689083735 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 MD · R189332
4821 BUTLER RD # 3C, Glyndon, MD 21136

Secondary Practice Location 1

Location 14825 Butler Rd, Suite 2BGlyndon, MD 21071-2100 · Phone (443) 801-5914

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 Jennifer Chavis's NPI number?

The NPI number for Jennifer Chavis is 1689083735. It was assigned to this individual provider in the NPPES registry on August 2, 2014.

Where is Jennifer Chavis located?

Jennifer Chavis practices at 4821 Butler Rd # 3C, Glyndon, MD 21136. The listed phone number is (443) 801-5914.

What is Jennifer Chavis'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 Jennifer Chavis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.