Individual
MRS. PAYTON WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
808 US-65, HARRISON, AR 72601
(870) 204-7263
Mailing address
9877 OLD OLVEY RD, HARRISON, AR 72601-9391
(870) 416-5797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
217530
AR
Other
Enumeration date
12/23/2024
Last updated
03/28/2025
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