Organization
SOUTHEAST ARKANSAS PRIMARY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN A YOUNG APRN (PRESIDENT / CEO)
(870) 209-1601
Entity
Organization
Contact information
Practice address
3801 W 28TH AVE, PINE BLUFF, AR 71603-4774
(870) 209-1601
Mailing address
3801 W 28TH AVE, PINE BLUFF, AR 71603-4774
(870) 209-1601
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A004617
AR
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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