IndividualActive
Charles Tevebaugh, APN
NPI 1316959216 · Gerontology Nurse Practitioner · Fayetteville, AR
Provider details
- NPI number
- 1316959216
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Male
- Sole proprietor
- No
- License
- A01080 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12 E Appleby
Suite 101
Fayetteville, AR 72703
Phone: (479) 463-4444
Fax: (479) 463-4499
Approximate (ZIP-level) locationGet directions
Mailing address
12 E Appleby
Fayetteville, AR 72703
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2011-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.