Individual
KERRY HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 MCLAIN ST, NEWPORT, AR 72112-3661
(870) 523-2944
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004778
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214371758
—
AR
Enumeration date
06/20/2016
Last updated
07/08/2019
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