Individual
AMBER D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2450 BATESVILLE BLVD, BATESVILLE, AR 72501
(870) 569-4934
(870) 569-4948
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-1235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A006037
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233151758
—
AR
Enumeration date
01/15/2019
Last updated
01/10/2022
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