Individual
MEGHAN JANE MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL LN, CONWAY, AR 72034-4912
(501) 329-2948
Mailing address
1 MEDICAL LN, CONWAY, AR 72034-4912
(501) 329-2948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004644
AR
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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