Individual provider · Type 1 NPI

Chanceler Pemberton

Licensed Practical Nurse · Lake Ozark, MO

NPI number 1760310163 Active

Practice location

130 Calo Ln
Lake Ozark, MO 65049-9208

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2023011514 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1760310163

Chanceler Pemberton's National Provider Identifier is 1760310163, issued on May 13, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lake Ozark, MO. The record was last updated on May 13, 2026.