Provider Demographics
NPI:1669745303
Name:ARCEMENT, CHRISTOPHER BYRON (NURSE PRACTITIONER(N)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BYRON
Last Name:ARCEMENT
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER(N
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:149 DRINKWATER BLVD
Mailing Address - Street 2:
Mailing Address - City:BAY ST. LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520
Mailing Address - Country:US
Mailing Address - Phone:228-467-8600
Mailing Address - Fax:228-467-8799
Practice Address - Street 1:5435 GEX RD.
Practice Address - Street 2:
Practice Address - City:DIAMONDHEAD
Practice Address - State:MS
Practice Address - Zip Code:39525
Practice Address - Country:US
Practice Address - Phone:228-255-8216
Practice Address - Fax:228-255-8219
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR859319363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner