Healthcare Provider Details

I. General information

NPI: 1134042682
Provider Name (Legal Business Name): AUBURN WEBB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 LINDA LN
JACKSONVILLE AR
72076-5116
US

IV. Provider business mailing address

1414 W MAIN ST
JACKSONVILLE AR
72076-4352
US

V. Phone/Fax

Practice location:
  • Phone: 501-457-8320
  • Fax:
Mailing address:
  • Phone: 501-241-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: