Individual
GINA C POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1416 E MATTHEWS AVE, JONESBORO, AR 72401-4362
(870) 207-7825
Mailing address
1416 E MATTHEWS AVE, JONESBORO, AR 72401-4362
(870) 207-7825
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R051390
AR
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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