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Mrs. Tracey Jo Gustaveson, RN
Community Health Registered Nurse in Little Rock, Arkansas
NPI 1386355089

Tracey Jo Gustaveson is a Community Health Registered Nurse based in Little Rock, AR and is specialized in Community Health. Tracey Jo Gustaveson practices in Little Rock, AR and has the professional credentials of RN. The NPI Number for Tracey Jo Gustaveson is 1386355089 and holds a License No. R091797 (Arkansas).

The current practice location address for Tracey Jo Gustaveson is 14901 Cantrell Rd, Little Rock, AR and can be reached out via phone at 501-367-1200.

Location: 14901 Cantrell Rd, Little Rock, AR, 72223-4255
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Provider Profile Details
NPI Number
1386355089
Provider Name
Tracey Jo Gustaveson
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
14901 Cantrell Rd, Little Rock, AR, 72223-4255
Phone Number
501-367-1200
Fax Number
Provider Enumeration Date
12/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R091797 01 AR ARKANSAS STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
14901 Cantrell Rd
City
State
Zip
72223-4255
Phone Number
501-367-1200
Fax Number
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Provider Business Mailing Address Details
Address
14901 Cantrell Rd
City
State
Zip
72223-4255
Phone Number
501-367-1200
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
R091797 (Arkansas)
Definition
Definition to come...
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