Individual
JAY WENDELL NOWLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 SOUTH MYRTLE ST, WARREN, AR 71671-7167
(870) 877-7201
(870) 877-7201
Mailing address
407 S MYRTLE ST, WARREN, AR 71671-3301
(870) 877-7201
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R092837
AR
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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