Individual
TRACY C POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1308 E PAGE AVE, MALVERN, AR 72104-4518
(501) 337-9820
(501) 468-0478
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
123708
AR
Other
Enumeration date
02/03/2020
Last updated
12/27/2024
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