| 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 |