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JUDITH GRACE FETTERS ARNP

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1578690756

Individual Registrant:
 JUDITH GRACE FETTERS ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
325 S 6TH PL  LOWELL, AR 72745-9704 US
Tel: 479-636-9234  Fax: 479-717-7557

Contact information for business:
325 S 6TH PL  LOWELL, AR 72745-9704 US
Tel: 479-636-9234  Fax: 479-717-7557

Registration Information:
NPI: 1578690756
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
ARA004744

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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