Organization
PREMIERE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN COLEMAN NURSE PRACTITIONER (OWNER)
(870) 493-3007
Entity
Organization
Contact information
Practice address
1904 GRANT AVE STE G, JONESBORO, AR 72401-6165
(870) 243-4136
Mailing address
1904 GRANT AVE STE G, JONESBORO, AR 72401-6165
(870) 493-3007
(870) 330-9076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
02/11/2022
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