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Mrs. Ellen Lavera Qualls, APN
Psychiatric/Mental Health Nurse Practitioner in Cave City, Arkansas
NPI 1689819682

Ellen Lavera Qualls is a Psychiatric/Mental Health Nurse Practitioner based in Cave City, AR and is specialized in Psychiatric/Mental Health. Ellen Lavera Qualls practices in Cave City, AR and has the professional credentials of APN. The NPI Number for Ellen Lavera Qualls is 1689819682 and holds a License No. A03179 (Arkansas).

The current practice location address for Ellen Lavera Qualls is 301 S Main St Ste D, Cave City, AR and can be reached out via phone at 870-834-0581.

Location: 301 S Main St Ste D, Cave City, AR, 72521-5010
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Provider Profile Details
NPI Number
1689819682
Provider Name
Ellen Lavera Qualls
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
301 S Main St Ste D, Cave City, AR, 72521-5010
Phone Number
870-834-0581
Fax Number
Provider Enumeration Date
12/05/2008
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A03179 01 AR APN LICENSE A03179
180502758 05 AR
5R233 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
301 S Main St Ste D
City
State
Zip
72521-5010
Phone Number
870-834-0581
Fax Number
person
Provider Business Mailing Address Details
Address
301 S Main St Ste D
City
State
Zip
72521-5010
Phone Number
870-834-0581
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
A03179 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Acute Care
Taxonomy
License No.
A03179 (Arkansas)
Definition
Definition to come...
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