Tina Milam RNP

NPI 1255523908 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1255523908
Gender Female
Enumeration Date 08/16/2007
Last Updated 05/30/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4508 STADIUM BLVD
JONESBORO AR, 72404-9675, US
Phone (870) 933-6886
Fax (870) 933-9395
Business Location
4508 STADIUM BLVD
JONESBORO AR, 72404-9675, US
Phone (870) 933-6886
Fax (870) 933-9395
Toxanomy
Taxonomy Code 363LP0808X
License State Arkansas
License Number PO1491
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According to our database, Mrs. Tina Milam RNP NPI is 1255523908, taxonomy code is 363LP0808X and license number is PO1491, license state is located at Arkansas. Tina Milam RNP physically located at 4508 Stadium Blvd, Jonesboro AR, 72404-9675. NPI Number Tina Milam RNP has the Individual type.

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1255523908 NPI number is provided on an as is basis without warranty of any kind. 1255523908 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Milam RNP are for informational purposes only.