Individual
MYRA SUSAN KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
836 N DIVISION ST, FORREST CITY, AR 72335-2708
(870) 633-1795
(870) 261-1818
Mailing address
836 N DIVISION ST, FORREST CITY, AR 72335-2708
(870) 633-1795
(870) 261-1818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R65618
AR
164W00000X
Licensed Practical Nurse
R65618
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124245761
—
AR
Enumeration date
10/22/2010
Last updated
10/27/2010
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