Individual
DONNA JANE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
375 N RUPPLE RD, FAYETTEVILLE, AR 72704-6110
(479) 718-0200
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004447
AR
Other
Enumeration date
08/24/2015
Last updated
06/10/2024
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