| NPI | 1821705849 |
|---|---|
| Doing Business As | JONESBORO WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MALLORY BROADAWAY Owner 870-926-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |