Individual provider · Type 1 NPI
Tina S. Chavis, FNP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI number
1053795435
Active
Practice location
PO Box 748465
Atlanta, GA 30374-8465
Mailing address
3074 Dogwood Ln
Richmond, IN 47374-3531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28184688A (IN) |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 71005603A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71005603A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053795435
Tina S. Chavis, FNP, PMHNP's National Provider Identifier is 1053795435, issued on Jul 15, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Atlanta, GA. The record was last updated on Jun 11, 2025.