Individual
MS. KIMBERLY DESHAN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1007 E MATTHEWS AVE, JONESBORO, AR 72401-4308
(870) 336-0472
(870) 336-5320
Mailing address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004782
AR
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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