TRACYE PORTWOOD

LITTLE ROCK, AR
NPI1710620562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: AR  R080496)
Additional Taxonomies163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: AR  R80496)
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: AR  R80496)
Enumeration Date2022-04-19
Last Update Date2022-04-19
Business Address
TRACYE PORTWOOD
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
Mailing Address
TRACYE PORTWOOD
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686