Individual
MRS. VICTORIA JAYNE LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 968-2841
Mailing address
1225 E ELM ST, RUSSELLVILLE, AR 72802-8684
(479) 857-6100
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
223289
AR
363L00000X
Nurse Practitioner
223289
AR
363LA2100X
Acute Care Nurse Practitioner
223289
AR
363LG0600X
Gerontology Nurse Practitioner
223289
AR
Other
Enumeration date
02/02/2023
Last updated
01/30/2024
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