Individual
NICHOLE MEGAN KOEBERNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 EAST HIGHLAND DRIVE, JONESBORO, AR 72401
(800) 467-3278
Mailing address
108 E SPEEDWAY ST, TRUMANN, AR 72472-2329
(501) 426-0056
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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