Individual
REBECCA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3010 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Mailing address
3010 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003855
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213832758
—
AR
Enumeration date
03/29/2016
Last updated
10/14/2016
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