Individual
MANUELA DEBACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
630 W SOUTH ST, BENTON, AR 72015-4258
(501) 860-7150
(501) 860-7166
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R101963
AR
363LF0000X
Family Nurse Practitioner
Primary
235311
AR
Other
Enumeration date
09/25/2025
Last updated
04/22/2026
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