Healthcare Provider Details

I. General information

NPI: 1578237020
Provider Name (Legal Business Name): CHEYENNE PERKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHEYENNE MCSPADDEN

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 ALLEN CHAPEL RD
SOUTHSIDE AR
72501-9787
US

IV. Provider business mailing address

1707 LINWOOD DR STE B
PARAGOULD AR
72450-5365
US

V. Phone/Fax

Practice location:
  • Phone: 870-464-3601
  • Fax: 888-977-2956
Mailing address:
  • Phone: 870-604-4455
  • Fax: 888-977-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: