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NPI Code Detail

MEDICARE: CHRISTOPHER TITSWORTH CNP

MEDICARE: CHRISTOPHER TITSWORTH CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner220570OK
2363LF0000XFamily Nurse Practitioner223847AR
3363LF0000XFamily Nurse Practitioner2023013715MO

General Provider Information

NPI Number : 1457047144
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER TITSWORTH CNP
Provider Business Mailing Address
First Line : 48 ROBB RD
Second Line :
City : SPRINGFIELD
State : AR
Zip : 72157-9611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27 W TOWNSHIP ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-2821
Country : US
Telephone Number : 479-900-5692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2023
Last Update Date : 03/09/2026

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Directions to “ CHRISTOPHER TITSWORTH CNP” Practice Location

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