Healthcare Provider Details

I. General information

NPI: 1508254962
Provider Name (Legal Business Name): JULIA ELIZABETH CHAMBERS APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E DAVE WARD DR
CONWAY AR
72032-7120
US

IV. Provider business mailing address

222 E DAVE WARD DR
CONWAY AR
72032-7120
US

V. Phone/Fax

Practice location:
  • Phone: 501-505-8400
  • Fax: 501-327-8199
Mailing address:
  • Phone: 501-505-8400
  • Fax: 501-327-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA004266
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: