Individual
CAROL L O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
161 S MAIN ST, DUMAS, AR 71639-2222
(870) 382-4878
(870) 382-4895
Mailing address
161 S MAIN ST, DUMAS, AR 71639-2222
(870) 382-4878
(870) 382-4895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AO 1575
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AO 1575
STATE LICENSE
AR
Enumeration date
06/06/2007
Last updated
07/08/2007
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