SKIN DERMATOLOGY PRACTITIONER, PLLC

JONESBORO, AR
NPI1003505389
Entity TypeOrganization
Authorized ContactNANCY PEMBERTON
Authorized Official
708-530-2453
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2023-05-03
Last Update Date2023-06-21
Business Address
SKIN DERMATOLOGY PRACTITIONER, PLLC
3106 SOUTHWEST DR STE 103
JONESBORO, AR 72404-8404
Phone number: 870-641-7546
Mailing Address
SKIN DERMATOLOGY PRACTITIONER, PLLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 800-824-4094
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