Individual
LAVETA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
211 MISSOURI, HELENA, AR 72342-3707
(870) 338-3363
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 725-5243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R104912
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
230076
AR
Other
Enumeration date
05/05/2021
Last updated
09/30/2024
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