Individual provider · Type 1 NPI

Chantelle Brielle Young Adaba, MD, MS

Military Health Care Provider · Jacksonville, FL

NPI number 1295226249 Active

Practice location

848 Candlebark Dr
Jacksonville, FL 32225-5322

Call (404) 934-0077 Map

Mailing address

Mayport Naval Base
Jacksonville, FL 32228

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1295226249

Chantelle Brielle Young Adaba, MD, MS's National Provider Identifier is 1295226249, issued on May 25, 2018. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 5, 2024.