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Individual

MARISA CAROL JOHNSON YINGLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4301 W MARKHAM ST, # 816, LITTLE ROCK, AR 72205-7101
(501) 686-8220
(501) 686-5596
Mailing address
4301 W MARKHAM ST, # 816, LITTLE ROCK, AR 72205-7101
(501) 686-8220
(501) 686-5596

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004696
AR

Other

Enumeration date
09/28/2016
Last updated
02/08/2017
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