Individual
JO ANN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
1706 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5249
(479) 521-0900
(479) 521-7284
Mailing address
1706 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5249
(479) 521-0900
(479) 521-7284
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R19417
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R19417
LICENSE
AR
Enumeration date
01/04/2007
Last updated
07/08/2007
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