Organization
CLINICALLY PROVEN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON PUTMAN APRN (CEO/APRN)
(501) 278-9679
Entity
Organization
Contact information
Practice address
1905 E BEEBE CAPPS EXPY, SEARCY, AR 72143-6973
(501) 278-7617
(501) 725-8813
Mailing address
1905 E BEEBE CAPPS EXPY, SEARCY, AR 72143-6973
(501) 278-7617
(501) 725-8813
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
06/15/2023
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