Individual
JOHN MARK BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1002 SCHNEIDER DR STE 104, MALVERN, AR 72104-4823
(501) 337-9994
Mailing address
1002 SCHNEIDER DR, STE 104, MALVERN, AR 72104-4823
(501) 467-4665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212918
AR
Other
Enumeration date
10/09/2020
Last updated
11/19/2020
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