Individual
DEBBIE ANN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7138
Mailing address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2005005588
MO
363LF0000X
Family Nurse Practitioner
Primary
A01264
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427436605
—
MO
Enumeration date
06/01/2006
Last updated
03/13/2020
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