Individual
NANCY PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3106 SOUTHWEST DR STE 103, JONESBORO, AR 72404-8404
(870) 641-7546
(870) 641-7547
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(008) 824-4094
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004763
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221014758
—
AR
Enumeration date
09/01/2016
Last updated
05/25/2023
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