Individual
MRS. HOLLY ROGERS GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
5 MEDICAL LN, CONWAY, AR 72034-4912
(501) 224-5200
Mailing address
PO BOX 20430, WHITE HALL, AR 71612-0430
(501) 661-9191
(501) 661-1991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A003851
AR
Other
Enumeration date
09/17/2013
Last updated
02/22/2021
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