Provider Demographics
NPI:1689126385
Name:CHALJUB, LEONA MACHELE (FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LEONA
Middle Name:MACHELE
Last Name:CHALJUB
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 SEALY ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-2216
Mailing Address - Country:US
Mailing Address - Phone:409-789-3951
Mailing Address - Fax:
Practice Address - Street 1:2219 SEALY ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-2216
Practice Address - Country:US
Practice Address - Phone:409-789-3951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2024-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130887363L00000X
TX2023153016363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner