Individual
NICOLE DANISE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
810 S ROCK ST, SHERIDAN, AR 72150-7066
(870) 917-2289
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005024
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581274YN39
PTAN
AR
Enumeration date
02/24/2017
Last updated
08/03/2026
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