Individual
HOLLEY ALEECE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-4100
Mailing address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005398
AR
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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