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NPI 1457017030 · live from the CMS NPI Registry

Jacquelyne Kay Chumley, APRN-CNP, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in El Paso, TX. National Provider Identifier 1457017030, active.

NPI record

NPI1457017030 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Psych/Mental Health 363LP0808X
Practice location5001 N Piedras St, El Paso, TX 79930
Practice phone915-252-9493
Mailing address234 Gonzalo Cir, El Paso, TX 79932
EnumeratedNovember 9, 2021
Last updatedSeptember 17, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner363L00000X5206 (NM)
Nurse Practitioner363L00000X41626 (TX)
Military Health Care Provider171000000X—
Registered Nurse, Psych/Mental Health, Child & Adolescent163WP0807X864779 (TX)
Registered Nurse, Psych/Mental Health163WP0808X864779 (TX)
Nurse Practitioner, Psych/Mental Health primary363LP0808X1058669 (TX)
Specialist174400000X2021100078 (TX)
Registered Nurse, Psych/Mental Health, Adult163WP0809X864779 (TX)
Registered Nurse, Addiction (Substance Use Disorder)163WA0400Xcs00231176 (NM)
Registered Nurse163W00000X864779 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.