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LATARSHA A BRYANT

Community Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1720242241

Individual Registrant:
 LATARSHA A BRYANT 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
215 E BOND AVE  WEST MEMPHIS, AR 72301-3550 US
Tel: 870-735-3842  Fax: 870-732-1940

Contact information for business:
215 E BOND AVE  WEST MEMPHIS, AR 72301-3550 US
Tel: 870-735-3842  Fax: 870-732-1940

Registration Information:
NPI: 1720242241
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LC1500XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Community Health
ARATP-000157

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AR - Page 1

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