Healthcare Provider Details

I. General information

NPI: 1669277646
Provider Name (Legal Business Name): CHASEY BRANCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 SECTION LINE RD STE N
HOT SPRINGS AR
71913-6188
US

IV. Provider business mailing address

147 SECTION LINE RD STE N
HOT SPRINGS AR
71913-6188
US

V. Phone/Fax

Practice location:
  • Phone: 501-701-4270
  • Fax:
Mailing address:
  • Phone: 501-701-4270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number231991
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: