Individual
KANISHER CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7500 DOLLARWAY RD STE 403, WHITE HALL, AR 71602-3083
(870) 247-4525
(870) 247-4294
Mailing address
7500 DOLLARWAY RD STE 403, WHITE HALL, AR 71602-3083
(870) 247-4525
(870) 247-4294
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A004742
AR
363LG0600X
Gerontology Nurse Practitioner
A004742
AR
363LP2300X
Primary Care Nurse Practitioner
Primary
A004742
AR
Other
Enumeration date
07/11/2016
Last updated
03/11/2025
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