Healthcare Provider Details

I. General information

NPI: 1548982788
Provider Name (Legal Business Name): NATASHA FLETCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATASHA FLETCHER BSN RN BC

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 111
DENNARD AR
72629-0111
US

IV. Provider business mailing address

PO BOX 111
DENNARD AR
72629-0111
US

V. Phone/Fax

Practice location:
  • Phone: 501-757-3158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberR083965
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number834646
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: