IndividualActive
Crystal Chancellor, APRN
NPI 1013515857 · Gerontology Nurse Practitioner · Little Rock, AR
Provider details
- NPI number
- 1013515857
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 212540 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2200 S Bowman Rd
Little Rock, AR 72211-4136
Phone: (870) 828-1022
Approximate (ZIP-level) locationGet directions
Mailing address
212 Mountain View Rd
Glenwood, AR 71943-9183
Registry dates
- Enumerated
- 2020-10-14
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.