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Mrs. Gwendolyn Broughton
Licensed Practical Nurse in Little Rock, Arkansas
NPI 1356632996

Gwendolyn Broughton is a Licensed Practical Nurse based in Little Rock, AR. Gwendolyn Broughton practices in Little Rock, AR. The NPI Number for Gwendolyn Broughton is 1356632996 and holds a License No. L14757 (Arkansas).

The current practice location address for Gwendolyn Broughton is 5800 W 10Th St, Little Rock, AR and can be reached out via phone at 501-660-6886 and via fax at 501-660-6838. You can also correspond with Gwendolyn Broughton through the mailing address at 1867 S CROSS ST, LITTLE ROCK, AR - 72206-1056 (mailing address contact number: 501-554-3157).

Location: 5800 W 10Th St, Little Rock, AR, 72206-1056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356632996
Provider Name
Gwendolyn Broughton
Credential
Provider Entity Type
Individual
Gender
Female
Address
5800 W 10Th St, Little Rock, AR, 72206-1056
Phone Number
501-660-6886
Fax Number
501-660-6838
Provider Enumeration Date
05/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L14757 01 AR LPN
institution
Provider Business Practice Location Address Details
Address
5800 W 10Th St
City
Little Rock
State
Arkansas
Zip
72204-1752
Phone Number
501-660-6886
Fax Number
501-660-6838
person
Provider Business Mailing Address Details
Address
1867 S Cross St
City
Little Rock
State
Arkansas
Zip
72206-1056
Phone Number
501-554-3157
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L14757 (Arkansas)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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