Individual provider · NPI-1

Chancey Christenson, MD

Pathology, Clinical Pathology/Laboratory Medicine · Jacksonville, FL

NPI number1144586538
StatusActive
Last updated in NPPESDec 29, 2025

Details

NPI
1144586538
Entity type
Individual (NPI-1)
Name
Chancey Christenson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2012
Certification date
Dec 29, 2025
Last updated
Dec 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory MedicineME155710FLYes
207ZB0001X Pathology, Blood Banking & Transfusion MedicineME155710FL

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Phone 904-956-3376

Mailing address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

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