Individual
CORTINA RAE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S 7TH ST, OZARK, AR 72949-3131
(479) 667-1590
Mailing address
201 S 7TH ST, OZARK, AR 72949-3131
(479) 667-1590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R066316
AR
363LF0000X
Family Nurse Practitioner
Primary
216688
AR
Other
Enumeration date
04/09/2021
Last updated
08/22/2021
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