Provider Demographics
NPI:1790281087
Name:HAMILTON, CHERYL NIKOL (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:NIKOL
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1032
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-1032
Mailing Address - Country:US
Mailing Address - Phone:479-321-4756
Mailing Address - Fax:888-331-5680
Practice Address - Street 1:1748 W SUNSET AVE STE B
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-5135
Practice Address - Country:US
Practice Address - Phone:479-321-4756
Practice Address - Fax:888-331-5680
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005594363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health