Individual
JUDITH GRACE FETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 S 6TH PL, LOWELL, AR 72745-9704
(479) 636-9234
(479) 717-7557
Mailing address
325 S 6TH PL, LOWELL, AR 72745-9704
(479) 636-9234
(479) 717-7557
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A004744
AR
Other
Enumeration date
02/27/2007
Last updated
08/03/2016
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