Individual
MRS. LACEY HEAD FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AG-ACNP, FNP
Contact information
Practice address
2280 E MAIN ST, EL DORADO, AR 71730-6526
(870) 444-5216
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
237014
LA
363LF0000X
Family Nurse Practitioner
Primary
229539
AR
Other
Enumeration date
05/13/2024
Last updated
06/10/2025
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