NPI | 1447843404 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA L DUGGAR Family Nurse Practitioner 479-667-2923 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-02-19 |
Last Update Date | 2021-02-19 |