Individual
MRS. CASSEY DIANE SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 PARKERS RDG, EL DORADO, AR 71730-3988
(870) 639-1117
Mailing address
143 PARKERS RDG, EL DORADO, AR 71730-3988
(870) 639-1117
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
223526
AR
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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