Individual
LACEY MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-8177
Mailing address
4763 COUNTY ROAD 160, JONESBORO, AR 72404-1015
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
232199
AR
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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