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Individual

DESIREE ANN LOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
825 N MAIN ST STE 1, HARRISON, AR 72601-2939
(870) 743-9000
(870) 743-4949
Mailing address
825 N MAIN ST STE 1, HARRISON, AR 72601-2939
(870) 743-9000
(870) 743-4949

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124544
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124544
STATE LICENSE, AR STATE BOARD OF NURSING
AR
Enumeration date
04/21/2020
Last updated
04/21/2020
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