Individual
AMBER JEWEL MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3214 E RACE AVE, SEARCY, AR 72143-9307
(501) 259-0420
Mailing address
23 WILLARD ST, WARD, AR 72176-9307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
121559
AR
Other
Enumeration date
06/14/2019
Last updated
08/01/2019
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