| NPI | 1609246370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LADD Office Manager 870-838-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004519) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |