Healthcare Provider Details

I. General information

NPI: 1770049835
Provider Name (Legal Business Name): KLARA JOSETTE HUTCHINSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2019
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 HUNTSVILLE RD
EUREKA SPRINGS AR
72632-8700
US

IV. Provider business mailing address

105 PASSION PLAY RD STE C
EUREKA SPRINGS AR
72632-9342
US

V. Phone/Fax

Practice location:
  • Phone: 479-325-9749
  • Fax:
Mailing address:
  • Phone: 479-253-5728
  • Fax: 833-984-3479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR104009
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number231313
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: