Individual
WANDA FAYE MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 S BAY DR, BAY, AR 72411-9482
(870) 770-1920
(870) 994-7488
Mailing address
4320 TRAILWATER DR, JONESBORO, AR 72404-9194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125714
AR
Other
Enumeration date
07/31/2020
Last updated
03/06/2025
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