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Individual

GINA M WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
4301 GREATHOUSE SPRINGS RD, JOHNSON, AR 72741-7274
(574) 274-2322
Mailing address
14545 N HICO ST, SILOAM SPRINGS, AR 72761-9602
(574) 274-2322

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0091094
OK
363LN0000X
Neonatal Nurse Practitioner
Primary
A01787
AR
363LN0005X
Critical Care Neonatal Nurse Practitioner
A01787
AR
363LP0200X
Pediatric Nurse Practitioner
A01787
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185629758
AR
05
2461223
OH
Enumeration date
08/26/2005
Last updated
06/21/2022
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