Provider Demographics
NPI:1174117683
Name:DEBRAH, CHELSEA AMOAFI (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:AMOAFI
Last Name:DEBRAH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:ASANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:3620 N JOSEY LN STE 117
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3157
Mailing Address - Country:US
Mailing Address - Phone:469-892-0194
Mailing Address - Fax:469-942-7172
Practice Address - Street 1:3620 N JOSEY LN STE 117
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3157
Practice Address - Country:US
Practice Address - Phone:469-892-0194
Practice Address - Fax:469-942-7172
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-24
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032745363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily