Individual
AISHA PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6 MELINDA DR, LITTLE ROCK, AR 72209-3341
(501) 960-2689
Mailing address
6 MELINDA DR, LITTLE ROCK, AR 72209-3341
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R105943
AR
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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