Individual
CHRISTINE LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 SALEM RD STE 4, CONWAY, AR 72034-6166
(501) 327-2995
(501) 327-2331
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R086496
AR
363L00000X
Nurse Practitioner
Primary
A004073
AR
363LF0000X
Family Nurse Practitioner
A004073
AR
Other
Enumeration date
04/18/2014
Last updated
05/21/2025
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