Individual
MS. KIMBERLY FAYE NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 S. MAIN STREET, MOUNTAIN HOME, AR 72653
(870) 424-1041
(870) 425-1049
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72404
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R027011
AR
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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