person
Mallory Leeann Broadaway, APRN-CNP
Psychiatric/Mental Health Nurse Practitioner in Trumann, Arkansas
NPI 1881023828

Mallory Leeann Broadaway is a Psychiatric/Mental Health Nurse Practitioner based in Jonesboro, AR and is specialized in Psychiatric/Mental Health. Mallory Leeann Broadaway practices in Trumann, AR and has the professional credentials of APRN-CNP. The NPI Number for Mallory Leeann Broadaway is 1881023828 and holds a License No. A003980 (Arkansas).

The current practice location address for Mallory Leeann Broadaway is 1704 Highway 69 West, Trumann, AR and can be reached out via phone at 870-483-4003 and via fax at 870-483-4009.

Location: 1704 Highway 69 West, Trumann, AR, 72401-7870
person
Provider Profile Details
NPI Number
1881023828
Provider Name
Mallory Leeann Broadaway
Credential
APRN-CNP
Provider Entity Type
Individual
Gender
Female
Address
1704 Highway 69 West, Trumann, AR, 72401-7870
Phone Number
870-483-4003
Fax Number
870-483-4009
Provider Enumeration Date
11/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201676758 05 AR
5PA17 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
1704 Highway 69 West
City
State
Zip
72472-2029
Phone Number
870-483-4003
Fax Number
870-483-4009
person
Provider Business Mailing Address Details
Address
1704 Highway 69 West
City
State
Zip
72472-2029
Phone Number
870-483-4003
Fax Number
870-483-4009
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A003980 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
A003980 (Arkansas)
Definition
Definition to come...
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