Individual
AMANDA MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3344 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-8200
(479) 582-7329
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
A006011
AR
363LA2200X
Adult Health Nurse Practitioner
Primary
A006011
AR
363LG0600X
Gerontology Nurse Practitioner
A006011
AR
Other
Enumeration date
03/11/2019
Last updated
01/03/2025
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