Individual
WHITLEY NICOLE CASKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
150 LITTLE RIVER 131, FOREMAN, AR 71836-8527
(903) 748-0938
Mailing address
150 LITTLE RIVER 131, FOREMAN, AR 71836-8527
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L060473
AR
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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