Healthcare Provider Details

I. General information

NPI: 1194793224
Provider Name (Legal Business Name): JANET H COVEY ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 N ILLINOIS ST
HARRISBURG AR
72432-1132
US

IV. Provider business mailing address

503 6TH ST
MARKED TREE AR
72365-2725
US

V. Phone/Fax

Practice location:
  • Phone: 870-578-5443
  • Fax:
Mailing address:
  • Phone: 870-358-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAO 1114 ANP
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: