Individual
PEGGY ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2504 W MAIN ST STE A, RUSSELLVILLE, AR 72801-2536
(501) 410-1196
(501) 410-1148
Mailing address
6315 RANCH DR, LITTLE ROCK, AR 72223-4623
(501) 410-1196
(501) 410-1148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
221843
AR
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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