Individual
MS. REBEKAH K MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN,FNP
Contact information
Practice address
107 S CRAVENS ST, CLARKSVILLE, AR 72830-3607
(479) 774-6945
(479) 774-6947
Mailing address
107 S CRAVENS ST, CLARKSVILLE, AR 72830-3607
(479) 774-6945
(479) 774-6947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003576
AR
363LF0000X
Family Nurse Practitioner
Primary
A03576
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109720758
—
AR
05
—
190720758
—
AR
Enumeration date
11/03/2011
Last updated
03/04/2026
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