Individual
MR. JOSEPH C FENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1707 AIRPORT RD, HOT SPRINGS, AR 71913-7949
(501) 767-6200
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 525-9675
(501) 525-7059
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A003683
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195151758
—
AR
Enumeration date
03/30/2012
Last updated
07/01/2021
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