Individual
REAGAN VILLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
720 LEXINGTON AVE, FORT SMITH, AR 72901-4738
(479) 910-3169
(479) 600-5051
Mailing address
124 WESTCHESTER CT, HOT SPRINGS, AR 71913-7743
(501) 414-6446
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
231939
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335745758
—
AR
Enumeration date
02/03/2025
Last updated
03/24/2025
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