Individual
DEREK H HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-1630
(870) 207-6581
Mailing address
6032 BEAVER CREEK LN, JONESBORO, AR 72404-9558
(501) 412-4777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003900
AR
Other
Enumeration date
08/04/2013
Last updated
09/30/2013
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