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Mr. Charles Gothard, APRN
Family Nurse Practitioner in Jonesboro, Arkansas
NPI 1801373824

Charles Gothard is a Family Nurse Practitioner based in Augusta, AR and is specialized in Family. Charles Gothard practices in Jonesboro, AR and has the professional credentials of APRN. The NPI Number for Charles Gothard is 1801373824 and holds a License No. A005795 (Arkansas).

The current practice location address for Charles Gothard is 416 E Washington Ave, Jonesboro, AR and can be reached out via phone at 870-333-5476.

Location: 416 E Washington Ave, Jonesboro, AR, 72006-0497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801373824
Provider Name
Charles Gothard
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
416 E Washington Ave, Jonesboro, AR, 72006-0497
Phone Number
870-333-5476
Fax Number
Provider Enumeration Date
07/23/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
229193758 05 AR
institution
Provider Business Practice Location Address Details
Address
416 E Washington Ave
City
Jonesboro
State
Arkansas
Zip
72401-3108
Phone Number
870-333-5476
Fax Number
person
Provider Business Mailing Address Details
Address
416 E Washington Ave
City
Jonesboro
State
Arkansas
Zip
72401-3108
Phone Number
870-333-5476
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A005795 (Arkansas)
Definition
Definition to come...
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