Individual
AMANDA JEAN RAGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
409 WOODRUFF ST, BRADLEY, AR 71826-8715
(870) 894-3366
Mailing address
2017 COLUMBIA ROAD 15, MAGNOLIA, AR 71753-8620
(479) 763-8454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005787
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231430758
—
AR
Enumeration date
12/25/2018
Last updated
05/21/2021
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