Individual
RAVONNE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3 E APPLEBY RD, SUITE 202, FAYETTEVILLE, AR 72703-3158
(479) 404-1140
(479) 404-1141
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
114069
OK
363LF0000X
Family Nurse Practitioner
Primary
A006200
AR
Other
Enumeration date
07/16/2014
Last updated
11/27/2019
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