Chisum, Karissa Nichole

Chisum, Karissa Nichole is an sole proprietor health care provider with primary practice located at 1640 Newport Blvd Ste 110 , Costa Mesa CA 92627-7762. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Chisum, Karissa Nichole can be contacted via phone (925) 282-1778.

Contact Information

Primary practice address
1640 Newport Blvd Ste 110 Costa Mesa CA 92627-7762
Phone: (925) 282-1778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95082085 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95024718 California

Profile Details

NPI number 1558042101
LBN Legal business name Chisum, Karissa Nichole
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2023
Last updated May 24th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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