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Individual

ROMONDA TOUSANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
13823 HAROLD DR, ALEXANDER, AR 72002-7293
(501) 838-6482
Mailing address
13823 HAROLD DR, ALEXANDER, AR 72002-7293

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R080980
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2022039078
MISSOURI APRN LICENSE (PMHNP)
MO
01
217980
ARKANSAS APRN LICENSE (PMHNP)
AR
01
R080980
ARKANSAS RN LICENSE (MULTI-STATE)
AR
Enumeration date
10/24/2021
Last updated
10/21/2022
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