IndividualActive
Keith Bohannon, APRN
NPI 1295527596 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Bentonville, AR
Provider details
- NPI number
- 1295527596
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 232468 (AR)
Practice location
2707 Se G St
Bentonville, AR 72712-3740
Phone: (479) 367-2552
Fax: (479) 367-2584
Mailing address
2707 Se G St
Bentonville, AR 72712-3740
Registry dates
- Enumerated
- 2025-05-21
- Last updated
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.