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Individual

SAMUEL RAY HISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
4802 E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-8000
(870) 934-3626
Mailing address
404 COUNTY ROAD 376, BONO, AR 72416-7556
(870) 219-1661
(870) 333-5452

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R065569
AR
363L00000X
Nurse Practitioner
S001121
AR
363L00000X
Nurse Practitioner
S01121
AR
363LA2200X
Adult Health Nurse Practitioner
Primary
S001121
AR

Other

Enumeration date
03/01/2006
Last updated
04/03/2024
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