Individual
SARA DIANE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3501 CARRIAGE HILL DR STE B, PARAGOULD, AR 72450-5329
(870) 573-2200
(870) 573-2300
Mailing address
3501 CARRIAGE HILL DR STE B, PARAGOULD, AR 72450-5329
(870) 573-2200
(870) 573-2300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218751
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218751
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
03/08/2012
Last updated
12/05/2023
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