RICKEY EDNA MACK

PERRYVILLE, AR
NPI1528560513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AR  A005560)
Enumeration Date2018-03-06
Last Update Date2024-12-09
Business Address
RICKEY EDNA MACK CNP
1016 N FOURCHE AVE
PERRYVILLE, AR 72126-8545
Phone number: 501-238-1284
Mailing Address
RICKEY EDNA MACK CNP
4196 HIGHWAY 62 412 STE A
HARDY, AR 72542-8002
Phone number: