Individual
ROBIN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1308 W 5TH AVE, CROSSETT, AR 71635-2500
(870) 364-6471
Mailing address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L057156
AR
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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