Corkern, Chantell
Corkern, Chantell is an individual health care provider with primary practice located at 1808 W Main St , Russellville AR 72801-2724. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Corkern, Chantell can be contacted via phone (479) 968-2841.Contact Information
Primary practice address
1808 W Main St
Russellville AR 72801-2724
Phone: (479) 968-2841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 123620 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 123620 | Arkansas |
Profile Details
| NPI number | 1194321711 |
|---|---|
| LBN Legal business name | Corkern, Chantell |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2020 |
| Last updated | Feb 16th, 2021 - about 5 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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