Individual
JACQUELINE DEVIN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 498-4661
(501) 321-0710
Mailing address
115 WRIGHTS ST STE C, HOT SPRINGS, AR 71913-6240
(501) 321-9803
(501) 321-0710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123954
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123954
ARKANSAS APRN LICENSES
AR
Enumeration date
03/12/2020
Last updated
07/19/2023
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