Individual
MRS. LORI ANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-8177
(870) 910-7702
Mailing address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-8177
(870) 910-7702
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
214605
AR
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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