Organization
THE RIDGE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA KAY MICHAELIS APRN (FULL INDEPENDENT PRACTICE)
(870) 317-5676
Entity
Organization
Contact information
Practice address
114 N WASHINGTON ST, FORREST CITY, AR 72335-3327
(870) 317-5676
Mailing address
114 N WASHINGTON ST, FORREST CITY, AR 72335-3327
(870) 317-5676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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