Individual
CHASSIE ALLYCE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1100 N COLLEGE AVE, BLDG 1 RM 360, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
1100 N COLLEGE AVE, BLDG 1 RM 360, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
A02934
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
ATP-000018
AR
Other
Enumeration date
07/25/2006
Last updated
07/03/2013
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