Individual
TONY D CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
934 N GASKILL, HUNTSVILLE, AR 72740-1319
(479) 738-5500
(479) 738-1350
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(870) 448-5733
(479) 738-1350
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
214796
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271128758
—
AR
Enumeration date
03/05/2021
Last updated
10/22/2025
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