Individual
MOLLYE JENAY KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
506 LITTLE CREEK CUT OFF RD, SHERIDAN, AR 72150-7798
(870) 942-3000
(870) 942-3005
Mailing address
342 HIGHWAY 425 S, MONTICELLO, AR 71655-4612
(870) 942-3000
(870) 942-3005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005265
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222825758
—
AR
Enumeration date
08/21/2017
Last updated
03/27/2026
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