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Individual

MS. LISA MICHELLE HURD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
Mailing address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
S02260
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190442758
AR
Enumeration date
10/14/2011
Last updated
05/09/2012
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