Individual
MS. KELLEY L EASLEY DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN PNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A001612
AR
363LP2300X
Primary Care Nurse Practitioner
A001612
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178404758
—
AR
Enumeration date
05/23/2008
Last updated
06/13/2024
Update your record
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