# CHERYL W HENNIGAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821026329
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-0103 | AR | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 07/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 125701001 | — | AR |
| 01 | — | 5J506 | AR BC/BS | AR |
| 01 | — | P00184760 | RR MCR | AR |