Organization
ADVANCED MEDICINE OF THE OZARKS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE GILLILAND APRN, FNP-BC (NURSE PRACTITIONER)
(870) 232-0397
Entity
Organization
Contact information
Practice address
104 DYER ST, MOUNTAIN HOME, AR 72653-3514
(870) 232-0397
(870) 232-0399
Mailing address
PO BOX 2457, MOUNTAIN HOME, AR 72654-2457
(870) 232-0397
(870) 232-0399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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