Organization
FLEB PLLC
Active
Other names
Jonesboro Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY BROADAWAY CNP (OWNER)
(870) 926-5168
Entity
Organization
Contact information
Practice address
2000 E MATTHEWS AVE, JONESBORO, AR 72401-4348
(870) 203-6177
Mailing address
3103 FLEMON RD, JONESBORO, AR 72404-8920
(870) 926-5168
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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