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Individual

JANICE MCRAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
4301 W MARKHAM ST, UAMS #783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-6562
Mailing address
4301 W MARKHAM ST, UAMS #783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-6562

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01297
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A01297
TRICARE
AR
01
P00375104
RAILROAD MEDICARE
AR
Enumeration date
09/22/2006
Last updated
02/11/2008
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