Individual
CASEY ANN SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 333-5437
Mailing address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 333-5437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R107776
AR
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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