Chung, Keena Joy Ennis
Chung, Keena Joy Ennis is an individual health care provider with primary practice located at 4900 Mueller Blvd Dell Children'S Medical Center, Austin TX 78723-3079. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Chung, Keena Joy Ennis can be contacted via phone (512) 324-0000.Contact Information
Primary practice address
4900 Mueller Blvd Dell Children'S Medical Center
Austin TX 78723-3079
Phone: (512) 324-0000
Fax: (512) 324-0721
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 741808 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP115959 | Texas |
Profile Details
NPI number | 1245263805 |
---|---|
LBN Legal business name | Chung, Keena Joy Ennis |
Credentials | CFNP, CPNP-AC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2006 |
Last updated | Mar 7th, 2023 - about 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245263805 | NPPES |
Texas | Other | 741808 | LICENSE NUMBER |
Texas | Other | 7770 | LICENSE NUMBER |
Texas | Other | Y0195445 | LICENSE NUMBER |
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