Individual
VENITA LYNNE NINEMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
673 NORTH MAIN ST, SALEM, AR 72576
(870) 895-2152
Mailing address
PO BOX 517, SALEM, AR 72576-0517
(870) 895-6096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005438
AR
363LF0000X
Family Nurse Practitioner
A005438
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005438
LICENSE
AR
Enumeration date
01/12/2018
Last updated
12/10/2024
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