Individual
DESTINY WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MONUMENT ST, LOWELL, AR 72745-6042
(479) 361-8601
Mailing address
101 MONUMENT ST STE D, LOWELL, AR 72745-5030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R084646
AR
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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