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Individual
MRS. REBEKKA LEE AMICK
Active
Individual
MRS. REBEKKA LEE AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
213001
AR
364SA2200X
Adult Health Clinical Nurse Specialist
S002315
AR
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
S002315
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200692480A
—
OK
05
—
216597758
—
AR
Enumeration date
03/20/2016
Last updated
08/10/2026
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