Individual
MRS. LORRAINE DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 425-3030
Mailing address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 425-3030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11200846
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213144
CERTIFIED NURSE PRACTITIONER
AR
Enumeration date
03/16/2021
Last updated
05/25/2022
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