Individual
MRS. COLECIA NICOLE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
202 N AARONFIELD RD, BENTON, AR 72015-4802
(870) 403-8703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R079263
AR
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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