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Contact Information

CHANDRA MATHIS, FNP-C
1200 FORT ST
BARLING, AR72923
 Phone: 479-763-1511
 Fax: 479-763-1545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHANDRA MATHIS · (Female)

NPI # 1548718125
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 09/13/2016
Last updated 10/04/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # A004908
  • AR Medicaid 221472758
Hospital affiliation(s)
  • ST EDWARD MERCY MEDICAL CENTER - (Acute Care)
    7301 ROGERS AVE
    FORT SMITH, AR 72917
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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