Provider Demographics
NPI:1639368731
Name:CHAPMAN, MICHELLE FRANCES (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:FRANCES
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:FRANCES
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:411 FALLS BLVD S
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-3501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:411 FALLS BLVD S
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-3501
Practice Address - Country:US
Practice Address - Phone:870-238-3261
Practice Address - Fax:870-238-3115
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X
ARA005414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171W00000XOther Service ProvidersContractor