Provider Demographics
NPI:1760060370
Name:BALDWIN, CHLOE (APRN PNP)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:APRN PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 BOBWHITE CIR
Mailing Address - Street 2:
Mailing Address - City:LONOKE
Mailing Address - State:AR
Mailing Address - Zip Code:72086-8028
Mailing Address - Country:US
Mailing Address - Phone:501-628-2822
Mailing Address - Fax:
Practice Address - Street 1:906 S PINE ST STE 5
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3837
Practice Address - Country:US
Practice Address - Phone:501-422-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR214765363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics