Individual
DANYSHA DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
2200 E MATTHEWS AVE, JONESBORO, AR 72401-4347
(870) 972-1268
(870) 934-0847
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173781795
—
AR
Enumeration date
04/11/2007
Last updated
12/19/2022
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