Individual
WAKETTA LASHELLE ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2816 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 336-1675
(870) 336-1679
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
122838
AR
Other
Enumeration date
02/13/2020
Last updated
01/20/2026
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