Individual
LISA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 FLEMING AVENUE, JONESBORO, AR 72401-3101
(870) 934-1099
(870) 935-1754
Mailing address
PO BOX 717, JONESBORO, AR 72403-0717
(870) 934-1099
(870) 935-1754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
P00976
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00976
REGISTER NURSE PRACTIONER
AR
01
—
R32910
REGISTERED NURSE
AR
Enumeration date
04/02/2007
Last updated
08/14/2013
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