Individual
MR. JIMMY LEE WOMACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN FNP-C
Contact information
Practice address
11720 SR 27, HECTOR, AR 72843-8712
(479) 284-2127
(479) 284-2130
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TBD
AR
Other
Enumeration date
06/27/2021
Last updated
03/28/2024
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