Individual
MELODY SHANTELLE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N CENTER ST, LONOKE, AR 72086-2005
(501) 438-8075
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226539
AR
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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