Individual
CHRISTIE M HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3344 N FUTRALL DR, FAYETTEVILLE, AR 72703
(479) 521-8200
(479) 582-7310
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A01496
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y650
AR BC/BS
AR
Enumeration date
02/13/2006
Last updated
03/06/2023
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