| NPI | 1134596927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNYA L LANSDELL President 870-584-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208000000X Pediatrics |
| 208D00000X General Practice | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A003557) | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2021-07-14 |