Individual
MACKENZIE TAYLOR COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 OLD COUNTY RD, POCAHONTAS, AR 72455-4118
(870) 892-7111
(870) 892-0930
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L059537
AR
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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