Individual
DESTINY YVONNE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 PURITAN DR, JACKSONVILLE, AR 72076-6081
(501) 313-8119
Mailing address
1012 PURITAN DR, JACKSONVILLE, AR 72076-6081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218640
AR
Other
Enumeration date
01/28/2022
Last updated
05/13/2026
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