Jamie Chasteen
Individual provider Active NPI Family Nurse Practitioner · Hensley, AR
NPI 1154966349 · NPPES record last updated Jan 7, 2020
Key facts
- NPI
- 1154966349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 122344 (AR)
- Practice address
- 20602 Arch Street Pike
Hensley, AR 72065-9442 - Phone
- (501) 486-4045
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122344 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Arkansas Five Medical Group, PLLC | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 122344 | AR | Yes |
Addresses
Primary practice location
20602 Arch Street Pike
Hensley, AR 72065-9442
Mailing address
20602 Arch Street Pike
Hensley, AR 72065-9442
Phone (501) 486-4045
Other providers in Hensley, AR
- Car Genetics & Molecular Diagnostics Lab
- Cardinal Care Transport
- Mary Anne Carter
- Central Arkansas Diagnostic
- Central Arkansas Genetic & Molecular Diagnostics
- D&D Doctors PLLC
- East End Express Pharmacy Inc
- East End Express Pharmacy Inc
- Everyday Living Strategies
- Derenda Jean Gibbs
All providers in Hensley, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.