Provider Demographics
NPI:1174407670
Name:HEUSINGER, CHELSEA JANE (RN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JANE
Last Name:HEUSINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:JANE
Other - Last Name:MEDLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:126 LEACH CREEK DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-4204
Mailing Address - Country:US
Mailing Address - Phone:252-908-5845
Mailing Address - Fax:
Practice Address - Street 1:300 W 27TH ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3075
Practice Address - Country:US
Practice Address - Phone:910-671-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC306722163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency