Individual
MRS. MICAH JOYCE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/ NP
Contact information
Practice address
1217 BATESVILLE BLVD, SOUTHSIDE, AR 72501-8912
(870) 262-2800
(870) 262-2815
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216572
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274084758
—
AR
Enumeration date
06/28/2021
Last updated
10/20/2025
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