Individual
VIRGINIA LAYNE ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3169 GREENE 625 RD, PARAGOULD, AR 72450-8505
(870) 930-8317
Mailing address
3169 GREENE 625 RD, PARAGOULD, AR 72450-8505
(870) 930-8317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
218683
AR
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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