Churchill, Jeanne Michelle

Churchill, Jeanne Michelle is an individual health care provider with primary practice located at 600 Club Ln , Conway AR 72034-3624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Churchill, Jeanne Michelle can be contacted via phone (501) 327-0110.

Contact Information

Primary practice address
600 Club Ln Conway AR 72034-3624
Phone: (501) 327-0110
Fax: (501) 327-0141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03366 ANP Arkansas

Profile Details

NPI number 1245559681
LBN Legal business name Churchill, Jeanne Michelle
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2010
Last updated Aug 31st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245559681 NPPES
Arkansas MEDICAID 188595758

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