Bullock, Chanel Dominque
Bullock, Chanel Dominque is an individual health care provider with primary practice located at 2711 W Kingshighway Ste 10 , Paragould AR 72450-2645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bullock, Chanel Dominque can be contacted via phone (877) 522-1275.Contact Information
Primary practice address
2711 W Kingshighway Ste 10
Paragould AR 72450-2645
Phone: (877) 522-1275
Fax: (833) 888-7145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A005316 | Arkansas |
Profile Details
| NPI number | 1346752151 |
|---|---|
| LBN Legal business name | Bullock, Chanel Dominque |
| Credentials | APN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2017 |
| Last updated | Nov 12th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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