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Organization

REVIVE HEALTH AND WELLNESS OF ARKANSAS, PLLC

Active
Other names
Revive Lifestyle Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSEY GILLUM APRN (MNG MEMBER)
(501) 779-8554
Entity
Organization

Contact information

Practice address
8114 CANTRELL RD STE 201, LITTLE ROCK, AR 72227-2504
(501) 779-8554
(501) 222-8034
Mailing address
8114 CANTRELL RD STE 201, LITTLE ROCK, AR 72227-2504
(501) 779-8554
(501) 222-8034

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
08/11/2021
Last updated
07/08/2022
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