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Lisa Dubose, RN
Psychiatric/Mental Health Registered Nurse in Conway, Arkansas
NPI 1316394364

Lisa Dubose is a Psychiatric/Mental Health Registered Nurse based in Springdale, AR and is specialized in Psychiatric/Mental Health. Lisa Dubose practices in Conway, AR and has the professional credentials of RN. The NPI Number for Lisa Dubose is 1316394364 and holds a License No. R032817 (Arkansas).

The current practice location address for Lisa Dubose is 350 Salem Rd Ste 1, Conway, AR and can be reached out via phone at 501-336-8300 and via fax at 501-329-5508.

Location: 350 Salem Rd Ste 1, Conway, AR, 72762-6683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316394364
Provider Name
Lisa Dubose
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
350 Salem Rd Ste 1, Conway, AR, 72762-6683
Phone Number
501-336-8300
Fax Number
501-329-5508
Provider Enumeration Date
05/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
224468795 05 AR
institution
Provider Business Practice Location Address Details
Address
350 Salem Rd Ste 1
City
Conway
State
Arkansas
Zip
72034-6166
Phone Number
501-336-8300
Fax Number
501-329-5508
person
Provider Business Mailing Address Details
Address
350 Salem Rd Ste 1
City
Conway
State
Arkansas
Zip
72034-6166
Phone Number
501-336-8300
Fax Number
501-329-5508
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
R032817 (Arkansas)
Definition
Definition to come...
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