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Contact Information

DANIEL M CHEATHAM, APRN
1609 W 40TH AVE
PINE BLUFF, AR71603-6319
 Phone: 870-541-7111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DANIEL M CHEATHAM · (Male)

NPI # 1215608328
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 09/28/2021
Last updated 09/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 217648
Hospital affiliation(s)
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1600 WEST 40TH AVENUE
    PINE BLUFF, AR 71603
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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