Provider Demographics
NPI:1578186631
Name:CHAPMAN, JENNIFER MEGAN (NP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MEGAN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 SANDHILL CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2519
Mailing Address - Country:US
Mailing Address - Phone:501-269-6629
Mailing Address - Fax:
Practice Address - Street 1:650 N SAM HOUSTON PKWY E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-5906
Practice Address - Country:US
Practice Address - Phone:281-445-6166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-24
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR124873207Q00000X
TX1073320207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine