# SOUTHEAST ARKANSAS PRIMARY CARE ASSOCIATES

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

## Provider details

- **NPI number:** 1619321221
- **Authorized official:** SHAUN A YOUNG APRN (PRESIDENT / CEO)
- **Authorized official phone:** (870) 209-1601

## Contact information

- **Practice address:** 3801 W 28TH AVE, PINE BLUFF, AR 71603-4774
- **Practice address phone:** (870) 209-1601
- **Mailing address:** 3801 W 28TH AVE, PINE BLUFF, AR 71603-4774
- **Mailing address phone:** (870) 209-1601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | A004617 | AR | Yes |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 04/20/2016