Individual
ROBBIE TODD DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
363 HALL ST, CLINTON, AR 72031-7021
(501) 253-5555
Mailing address
363 HALL ST, CLINTON, AR 72031-7021
(501) 253-5555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
P00678
AR
363LG0600X
Gerontology Nurse Practitioner
P00678
AR
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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