Individual
CHANNING HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
2255 STURGIS RD, CONWAY, AR 72034-8029
(501) 858-3048
Mailing address
3855 LAZY CREEK TRL, CONWAY, AR 72032-9180
(870) 814-2689
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
122833
AR
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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