Provider Demographics
NPI:1447421482
Name:SKINNER, CHRISTIE FAYE (DNP, APN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:FAYE
Last Name:SKINNER
Suffix:
Gender:F
Credentials:DNP, APN
Other - Prefix:MRS
Other - First Name:CHRISTIE
Other - Middle Name:FAYE
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2790 SOUTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-3462
Mailing Address - Country:US
Mailing Address - Phone:870-864-1611
Mailing Address - Fax:870-719-3089
Practice Address - Street 1:2226 HAYNESVILLE HWY
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-9712
Practice Address - Country:US
Practice Address - Phone:870-864-1611
Practice Address - Fax:870-719-3089
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03087363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR167235758Medicaid
AR5A801Medicare PIN