Individual
AMANDA N CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 300-6400
Mailing address
3127 SOUTHWEST DR, JONESBORO, AR 72404-8404
(870) 336-8100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L043451
AR
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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