Individual
CHANDRA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1200 FORT ST, BARLING, AR 72923
(479) 763-1511
(479) 763-1545
Mailing address
1200 FORT ST STE A, BARLING, AR 72923-2013
(479) 763-1511
(479) 763-1545
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A004908
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221472758
—
AR
Enumeration date
09/13/2016
Last updated
10/04/2018
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