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NPI Code Detail

MEDICARE: MARCIA MCGLONE APRN

MEDICARE: MARCIA MCGLONE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseRN55367AR
2363LP0808XPsychiatric/Mental Health Nurse PractitionerA003928AR

General Provider Information

NPI Number : 1528219854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA MCGLONE APRN
Provider Business Mailing Address
First Line : PO BOX 233
Second Line :
City : KNOXVILLE
State : AR
Zip : 72845-0233
Country : US
Telephone Number : 479-518-8549
Fax Number : 479-479-3988
Provider Business Practice Location Address
First Line : 2600 W MAIN ST
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72801-2535
Country : US
Telephone Number : 833-479-4325
Fax Number : 833-464-3107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2008
Last Update Date : 04/08/2026

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