Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLIE DERAE CHESTNUT, ITDS, M.A.E.
Active Sole ProprietorMS. KELLIE DERAE CHESTNUT, ITDS, M.A.E. is a Developmental Therapist healthcare provider located in JACKSONVILLE, Florida. NPI 1902990328 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1902990328
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.682597470726 yrs)
- Last Updated
- Mar 13, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
910 N JEFFERSON STJACKSONVILLE, FL, 322096810Browse FL providers · Browse ZIP 32209
- Phone
- 2708475723
- Primary Specialty
-
Developmental Therapist
222Q00000X
- Additional Specialty
- Case Manager
Other Developmental Therapist Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| APRIL P SMITH | — | 1417014341 |
| MRS. BEVERLY YVETTE HARVEY | ITDS | 1033266168 |
| MRS. JILL MARIE OLIVIER | — | 1215084371 |
| MS. KRISTEN ERIN COMER | ITDS | 1669529632 |
| AMY RODRIGUEZ | — | 1700933389 |
| MS. KIMBERLY WELLS | ITDS | 1437206117 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.