Individual
STORME WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 FOUNTAIN DR, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Mailing address
3010 FOUNTAIN DR, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220029
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220029
APRN LICENSE
AR
Enumeration date
11/01/2022
Last updated
11/01/2022
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