Individual
CRYSTAL NICOLE CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2200 S BOWMAN RD, LITTLE ROCK, AR 72211-4136
(870) 828-1022
Mailing address
212 MOUNTAIN VIEW RD, GLENWOOD, AR 71943-9183
(870) 828-1022
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
212540
AR
Other
Enumeration date
10/14/2020
Last updated
11/02/2023
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