Provider Demographics
NPI:1538951884
Name:HOLDEN, CHERYL (DHSC, MSN-RN)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:DHSC, MSN-RN
Other - Prefix:MRS
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:CHEEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3516 GLEN FLORA WAY
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72908-0719
Mailing Address - Country:US
Mailing Address - Phone:479-788-7399
Mailing Address - Fax:
Practice Address - Street 1:3516 GLEN FLORA WAY
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72908-0719
Practice Address - Country:US
Practice Address - Phone:479-788-7399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR039514163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health