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Individual

MRS. LAUREN LATISHA HANCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
F.N.P

Contact information

Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-1630
(870) 207-6581
Mailing address
6032 BEAVER CREEK LN, JONESBORO, AR 72404-9558
(870) 405-3073

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03570
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A03570
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
07/08/2011
Last updated
10/15/2013
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