| NPI | 1316158025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H LYNN MAYO Staff Nurse Practitioner 870-741-8247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR AO1349) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |