Individual
MRS. ELLEN JEAN TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C
Contact information
Practice address
3211 N NORTHHILLS BLVD, SUITE 110, FAYETTEVILLE, AR 72703-4007
(479) 571-4338
Mailing address
3211 N NORTHHILLS BLVD, SUITE 110, FAYETTEVILLE, AR 72703-4007
(479) 571-4338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03680
AR
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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