Individual
MRS. KRISTY ANNE WHITED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4001 COMMERCIAL CENTER DR STE 1, MARION, AR 72364-9616
(870) 636-9218
Mailing address
681 RIVERWEST CIRCLE, MARION, AR 72364
(870) 559-2344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005290
AR
Other
Enumeration date
08/01/2017
Last updated
09/02/2020
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