Individual
MS. GAYE LYNNE FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1000 W BUCHANAN ST, CLARKSVILLE, AR 72830-2252
(479) 754-6210
(800) 354-2182
Mailing address
1000 W BUCHANAN ST, CLARKSVILLE, AR 72830-2252
(479) 754-6210
(800) 354-2182
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L42926
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103106724
—
AR
Enumeration date
07/25/2018
Last updated
07/25/2018
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