Individual
FALLON HARMAN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 NEIL DR, JONESBORO, AR 72401-4462
(870) 273-2799
(501) 325-7874
Mailing address
1021 NEIL DR, JONESBORO, AR 72401-4462
(870) 273-2799
(501) 325-7874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229883
AR
Other
Enumeration date
07/25/2024
Last updated
11/14/2025
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