Individual
MRS. DANIELLE RENAE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-5995
Mailing address
20 COLUMBIA ROAD 525, MAGNOLIA, AR 71753-8808
(870) 949-2718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005458
AR
363LP2300X
Primary Care Nurse Practitioner
A005458
AR
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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