Individual
SAMANTHA DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
Mailing address
PO BOX 1533, JONESBORO, AR 72403-1533
(870) 932-1820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1158
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-1158
MEDICAL LICENSE NUMBER
AR
Enumeration date
03/06/2023
Last updated
01/16/2024
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