Individual
PATRICIA ANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-4100
Mailing address
2103 SWEET GUM DR, JONESBORO, AR 72401-3692
(870) 530-0655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
217601
AR
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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