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Amy Deatherage
Family Nurse Practitioner in Paragould, Arkansas
NPI 1720489032

Amy Deatherage is a Family Nurse Practitioner based in Paragould, AR and is specialized in Family. Amy Deatherage practices in Paragould, AR. The NPI Number for Amy Deatherage is 1720489032 and holds a License No. 2014012328 (Arkansas).

The current practice location address for Amy Deatherage is 1 Medical Dr Ste 100, Paragould, AR and can be reached out via phone at 870-932-0399.

Location: 1 Medical Dr Ste 100, Paragould, AR, 72450-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720489032
Provider Name
Amy Deatherage
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Dr Ste 100, Paragould, AR, 72450-4005
Phone Number
870-932-0399
Fax Number
Provider Enumeration Date
09/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Dr Ste 100
City
Paragould
State
Arkansas
Zip
72450-4005
Phone Number
870-932-0399
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Dr Ste 100
City
Paragould
State
Arkansas
Zip
72450-4005
Phone Number
870-932-0399
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2014012328 (Arkansas)
Definition
Definition to come...
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