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Individual

PORSCHA NICOLE BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1205 E 35TH ST, TEXARKANA, AR 71854-2746
(870) 216-0050
(870) 216-0096
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005432
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A005432
ARLICENSE
AR
Enumeration date
05/17/2018
Last updated
07/07/2022
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