Individual
MR. JUSTIN TAYLOR DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
14524 CANTRELL RD STE 160, LITTLE ROCK, AR 72223-4673
(501) 868-4400
Mailing address
16 STONEBRIDGE CIR APT 1614, LITTLE ROCK, AR 72223-4549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005146
AR
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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