Individual
DELICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
Mailing address
16 HOSPITAL CIR STE A, BATESVILLE, AR 72501-7343
(870) 262-5545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019023372
MO
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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