Healthcare Provider Details

I. General information

NPI: 1720613482
Provider Name (Legal Business Name): TONYA L CHAMBERS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1142 HIGHWAY 71 S STE D
MENA AR
71953-8078
US

IV. Provider business mailing address

PO BOX 12
MENA AR
71953-0012
US

V. Phone/Fax

Practice location:
  • Phone: 479-391-2424
  • Fax: 479-227-5360
Mailing address:
  • Phone: 479-391-2424
  • Fax: 479-227-5360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number124142
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: