Individual
TERRY JO WOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27 CHOCTAW TRCE, CHEROKEE VILLAGE, AR 72529-2702
(954) 873-4433
Mailing address
27 CHOCTAW TRCE, CHEROKEE VILLAGE, AR 72529-2702
(954) 873-4433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R43584
AR
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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