Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chandra Nicole Pepper, PA-C

Individual provider Physician Assistant · NPI 1790399020

Chandra Nicole Pepper, PA-C is a Physician Assistant in Holland, Michigan. Licensed in Michigan and Ohio. Registered with an NPI since 2020.

Licensed in
MI, OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

602 Michigan Ave
Holland, MI 49423-4918
Phone: (616) 392-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010191 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 50.006689RX (OH)

Record details

NPI number1790399020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

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