Chastity Tanner, APRN – Family Nurse Practitioner

Key facts

NPI: 1447149869
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 23393277 (AR)
Practice address: 8140 N Haven Dr
Alexander, AR 72002-2889
Phone: (870) 329-6468
NPI assigned: Jul 1, 2025
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Jefferson Comprehensive Care System, Inc Federally Qualified Health Center (FQHC) · Pine Bluff, AR · NPI 1154386597

Medicare reassignment AR

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2025
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

3629 Wise Rd
Alexander, AR 72002-9393

PO Box
Suite 1285
Pine Bluff, AR 71613

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260324000411	AR	Practitioner - Nurse Practitioner	0446734958	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
23393277	AR	MD	Family Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	23393277	AR	Yes

Addresses

Primary practice location

8140 N Haven Dr
Alexander, AR 72002-2889

Mailing address

8140 N Haven Dr
Alexander, AR 72002-2889
Phone (870) 329-6468

Other providers in Alexander, AR

Lonnell O Seamster Sr., NP-C
Elizabeth Jean Shook, RNP, CS, APN
Sondra'S Love and Care Transportation, LLC
State of Arkansas
Charles Martin Stewart
Christian Noelle Taylor
Kacie Taylor, PHARMD
Tamietra Taylor
Natasha Thorne
Romonda Tousant, APRN

All providers in Alexander, 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 Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.