Individual
LISA M KAFFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7710
Mailing address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01687
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150062758
—
AR
Enumeration date
03/01/2006
Last updated
04/28/2008
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