Individual
DEANNA MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
114 N WASHINGTON ST, FORREST CITY, AR 72335-3327
(870) 970-3340
(870) 383-3334
Mailing address
1507 HWY 238, MORO, AR 72368
(870) 317-5676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005440
AR
Other
Enumeration date
01/04/2018
Last updated
08/03/2023
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