Provider Demographics
NPI:1801570403
Name:HAWLEY, CHELSEA NICOLE (DNP)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:NICOLE
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 S PINE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-3837
Mailing Address - Country:US
Mailing Address - Phone:501-422-6700
Mailing Address - Fax:501-422-6710
Practice Address - Street 1:906 S PINE ST STE 5
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3837
Practice Address - Country:US
Practice Address - Phone:501-422-6700
Practice Address - Fax:501-422-6710
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR224718363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily