Individual
KELSEY BRIANA MATHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
201 E OAK AVE, JONESBORO, AR 72401-4163
(870) 935-6729
Mailing address
3904 PHILLIPS DR, PARAGOULD, AR 72450-2546
(870) 212-0398
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004916
AR
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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