MEDICARE: BOBBI CHENOWITH APRN

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
1	363LF0000X	Family Nurse Practitioner	A005990	AR

General Provider Information

NPI Number	:	1962972844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBI CHENOWITH APRN

Provider Business Mailing Address
First Line	:	1500 DODSON AVE STE 230
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-5179
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8306 MASSARD CREEK CT
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-6084
Country	:	US
Telephone Number	:	844-215-0731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2018
Last Update Date	:	05/14/2026

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