Organization
AMY L PLUNKETT DNP APN PLLC
Active
Other names
Eastside Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LEE PLUNKETT DNP (BUSINESS OWNER)
(479) 434-3727
Entity
Organization
Contact information
Practice address
2713 S 74TH ST STE 301, MERCY TOWER, FORT SMITH, AR 72903-5155
(479) 434-3727
Mailing address
2713 S 74TH ST STE 301, MERCY TOWER, FORT SMITH, AR 72903-5155
(479) 434-3727
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
34110000101
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154408758
—
AR
05
—
200041850A
—
OK
Enumeration date
11/03/2011
Last updated
11/03/2011
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