Individual provider · Type 1 NPI
Chakina Brunson, APN, CPNP
Pediatric Nurse Practitioner · Chicago, IL
NPI number
1861813784
Active
Practice location
6501 S Promontory Dr
Chicago, IL 60649-1003
Mailing address
6142 S Woodlawn Ave, 3N
Chicago, IL 60637-2865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 041356343 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209011327 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1861813784
Chakina Brunson, APN, CPNP's National Provider Identifier is 1861813784, issued on Dec 18, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Mar 18, 2016.