Individual
MRS. AMANDA LEA EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-8689
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-8689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03096
AR
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
A03096
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187321758
—
AR
05
—
200389410A
—
OK
Enumeration date
10/13/2008
Last updated
05/31/2012
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