Individual
JUSTIN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004967
AR
Other
Enumeration date
12/12/2016
Last updated
11/11/2019
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