Individual
LINZY GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1308 E PAGE AVE, MALVERN, AR 72104-4518
(501) 337-9820
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 325-6202
(870) 325-6316
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
214598
AR
363LG0600X
Gerontology Nurse Practitioner
223879
LA
Other
Enumeration date
01/28/2021
Last updated
10/14/2025
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