Individual
MICHELLE EVEREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
Mailing address
1079 HIGHLAND BLVD, CABOT, AR 72023-6001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R63967
AR
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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