Individual
TERRI JEAN MCKOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, APN
Contact information
Practice address
3812 W MAIN ST, RUSSELLVILLE, AR 72801-2314
(479) 968-1245
Mailing address
81 DOUBLE SPRINGS RD, RUSSELLVILLE, AR 72802-2334
(479) 968-1418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01506
AR
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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