Provider Demographics
NPI:1508254962
Name:CHAMBERS, JULIA ELIZABETH (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ELIZABETH
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E DAVE WARD DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-7120
Mailing Address - Country:US
Mailing Address - Phone:501-505-8400
Mailing Address - Fax:501-327-8199
Practice Address - Street 1:222 E DAVE WARD DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-7120
Practice Address - Country:US
Practice Address - Phone:501-505-8400
Practice Address - Fax:501-327-8199
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily