Organization
WHITES FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNEY LINDSEY WHITE APRN (ADVANCED PRACTICE REGISTERED NURSE)
(870) 898-0002
Entity
Organization
Contact information
Practice address
418 N 2ND ST, ASHDOWN, AR 71822-2755
(870) 898-0002
Mailing address
418 N 2ND ST, ASHDOWN, AR 71822-2755
(870) 898-0002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210797758
—
AR
Enumeration date
08/12/2019
Last updated
07/09/2020
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