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Individual

KATINA BRISCOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
400 HIGHWAY 64 E, AUGUSTA, AR 72006
(870) 347-3351
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-3350
(870) 347-3492

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3007796
KY
363LF0000X
Family Nurse Practitioner
902574
MS
363LF0000X
Family Nurse Practitioner
Primary
A002982
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165059758
AR
Enumeration date
12/14/2006
Last updated
01/30/2019
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