Individual
MELISSA LOUISE CHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6101 PHOENIX AVE, FORT SMITH, AR 72903-5083
(479) 573-3042
Mailing address
PO BOX 776075, CHICAGO, IL 60677-6075
(479) 573-3042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005890
AR
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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