Organization
ADVANCED ILLNESS MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DAWN CRAWFORD APRN (OWNER)
(815) 262-6518
Entity
Organization
Contact information
Practice address
446 ROBINHOOD LN, HARDY, AR 72542-9032
(815) 262-6518
Mailing address
6834 CANTRELL RD # 1437, LITTLE ROCK, AR 72207-4135
(815) 262-6518
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
06/06/2024
Last updated
06/11/2024
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