# OZARK GERIATRICS OF HARRISON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417480161
- **Authorized official:** AMANDA CHITSEY (OWNER)
- **Authorized official phone:** (870) 365-7441

## Contact information

- **Practice address:** 6166 HIGHWAY 206 W, HARRISON, AR 72601-9235
- **Practice address phone:** (870) 365-2829
- **Practice address fax:** (870) 741-2763
- **Mailing address:** 6166 HIGHWAY 206 W, HARRISON, AR 72601-9235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | A01409 | AR | Yes |

## Other

- **Enumeration date:** 04/10/2017
- **Last updated:** 08/30/2022