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1710402870
PRISCILLA G FORTNER
JONESBORO, AR
NPI
1710402870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005324)
Enumeration Date
2017-08-10
Last Update Date
2018-09-06
Business Address
PRISCILLA G FORTNER APRN
4802 E JOHNSON AVE
JONESBORO, AR 72401
Phone number: 870-936-8000
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Mailing Address
PRISCILLA G FORTNER APRN
PO BOX 1960
JONESBORO, AR 72403-1960
Phone number: 870-936-8000
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