Ozark Wellness Clinic Pllc

NPI 1720482482 - Clinical Nurse Specialist - 364SF0001X

NPI Details
NPI 1720482482
Enumeration Date 10/09/2014
Last Updated 01/19/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name YVONIA JEAN YVONIA
Position PRESIDENT
Phone (479) 667-2222
Fax (479) 667-2252
Practice Location
102 W COLLEGE ST
OZARK AR, 72949-2850, US
Phone (479) 667-2222
Fax (479) 667-2252
Business Location
102 W COLLEGE ST
OZARK AR, 72949-2850, US
Phone (479) 667-2222
Fax (479) 667-2252
Toxanomy
Taxonomy Code 364SF0001X
License State Arkansas
License Number 5001039
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According to our database, Ozark Wellness Clinic Pllc NPI is 1720482482, taxonomy code is 364SF0001X and license number is 5001039, license state is located at Arkansas. Ozark Wellness Clinic Pllc physically located at 102 W College St, Ozark AR, 72949-2850. NPI Number 1033115704 has the healthcare provider type.

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1720482482 NPI number is provided on an as is basis without warranty of any kind. 1720482482 is maintained by the National Plan & Provider Enumeration System. The contents of Ozark Wellness Clinic Pllc are for informational purposes only.