Individual
MRS. GLENDA DARLENE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
719 FRONT STREET, CONWAY, AR 72032
(501) 900-4549
(484) 328-6447
Mailing address
719 FRONT STREET, CONWAY, AR 72032
(501) 900-4549
(484) 328-6447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124130
AR
Other
Enumeration date
04/06/2020
Last updated
12/07/2022
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