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BROOKE KNAPP AGPCNP

Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1134705916

Individual Registrant:
 BROOKE  KNAPP AGPCNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1010 N CENTER STREET  LONOKE, AR 72086 US
Tel: 870-856-1202  Fax: --

Contact information for business:
49 HIGHWAY 62 412  ASH FLAT, AR 72513-9594 US
Tel: --  Fax: --

Registration Information:
NPI: 1134705916
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
ARA005739

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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