Individual
CHELSEA AUTUMN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-4388
Mailing address
1204 BIRDELL ST, POCAHONTAS, AR 72455-3812
(870) 919-8458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R099203
AR
363LF0000X
Family Nurse Practitioner
Primary
217602
AR
Other
Enumeration date
10/12/2021
Last updated
10/30/2021
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