Individual
NIKKI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 HIGHWAY 71 N, ALMA, AR 72921-5114
(479) 632-6688
Mailing address
1119 S FRANKFORT AVE, RUSSELLVILLE, AR 72801-6948
(479) 280-3086
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A005616
AR
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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