Provider Demographics
NPI:1619273877
Name:BUTLER, CHASITY JANE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHASITY
Middle Name:JANE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:109 E MAIN ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:STIGLER
Mailing Address - State:OK
Mailing Address - Zip Code:74462-2704
Mailing Address - Country:US
Mailing Address - Phone:918-438-5477
Mailing Address - Fax:918-203-4825
Practice Address - Street 1:109 E MAIN ST UNIT D
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-2704
Practice Address - Country:US
Practice Address - Phone:918-438-5477
Practice Address - Fax:918-203-4825
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARPA-427363A00000X
OK2661363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant