Provider Demographics
NPI:1154808145
Name:HARRISON, CHELSEY RANEY (NP-C)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:RANEY
Last Name:HARRISON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9601 BAPTIST HEALTH DR STE 750
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6370
Mailing Address - Country:US
Mailing Address - Phone:501-224-0200
Mailing Address - Fax:
Practice Address - Street 1:9601 BAPTIST HEALTH DR STE 750
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6370
Practice Address - Country:US
Practice Address - Phone:501-224-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily