Provider Demographics
NPI:1467932772
Name:PARFAIT, FAITH J
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:J
Last Name:PARFAIT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FAITH
Other - Middle Name:JEWEL
Other - Last Name:CHAISSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6907 AR-5
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022
Mailing Address - Country:US
Mailing Address - Phone:501-213-0547
Mailing Address - Fax:
Practice Address - Street 1:1352 WATKINS ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034
Practice Address - Country:US
Practice Address - Phone:501-269-1624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARL052368164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse