Individual
TAMEKA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1090 ARNOLD DR, JACKSONVILLE, AR 72099-7274
(501) 987-5433
Mailing address
1090 ARNOLD DR, JACKSONVILLE, AR 72099-4933
(501) 987-5433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004115
AR
Other
Enumeration date
06/23/2014
Last updated
02/26/2020
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