Individual
MACY ANNETTE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2526 HIGHWAY 65 S STE 203, CLINTON, AR 72031-6678
(501) 745-4914
(501) 745-6374
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A004179
AR
Other
Enumeration date
08/21/2014
Last updated
02/01/2024
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