Individual
JAMIE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 E 9TH ST, MOUNTAIN HOME, AR 72653-4704
(870) 425-6398
(870) 425-6402
Mailing address
130 E 9TH ST, MOUNTAIN HOME, AR 72653-4704
(870) 425-6398
(870) 425-6402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A005926
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005926
CNP LICENSE
AR
01
—
R102783
RN LICENSE
AR
Enumeration date
10/02/2018
Last updated
02/21/2020
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