Individual
AMY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 DAVID ST, CORNING, AR 72422-7268
(870) 857-3655
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
124553
AR
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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