Individual
AMANDA JANET COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1175 VINE ST, BATESVILLE, AR 72501-3526
(870) 793-4600
(870) 793-4608
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
A003899
AR
163WG0000X
General Practice Registered Nurse
R055227
AR
363LF0000X
Family Nurse Practitioner
Primary
A003899
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199709758
—
AR
Enumeration date
06/18/2013
Last updated
07/14/2016
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