Healthcare Provider Details

I. General information

NPI: 1326905423
Provider Name (Legal Business Name): KEIRSTYN CARLI DUKE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 RED WOLF BLVD
JONESBORO AR
72405-9739
US

IV. Provider business mailing address

1106 ROBINWOOD ST
PARAGOULD AR
72450-5553
US

V. Phone/Fax

Practice location:
  • Phone: 870-972-8181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number213865
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: