Individual
ELDEAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2520 W MAIN ST, CO PATHFINDER INC, JACKSONVILLE, AR 72076-4214
(501) 982-0528
(501) 985-7777
Mailing address
2520 W MAIN ST, CO PATHFINDER INC, JACKSONVILLE, AR 72076-4214
(501) 982-0528
(501) 985-7777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R44445
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A083
TRICARE NUMBER
AR
Enumeration date
04/04/2007
Last updated
07/08/2007
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