Individual
LAKISHA A MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
216 ARKANSAS ST, EARLE, AR 72331-2217
(870) 792-7676
(870) 792-7676
Mailing address
700 W KEISER AVE, OSCEOLA, AR 72370-3506
(870) 563-6512
(870) 563-5013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17083
TN
363LF0000X
Family Nurse Practitioner
Primary
A003767
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17083
FAMILY NURSE PRACTITIONER
TN
Enumeration date
11/07/2012
Last updated
06/04/2021
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