Healthcare Provider Details

I. General information

NPI: 1598680365
Provider Name (Legal Business Name): APRIL GRADY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4334 E HIGHLAND DR
JONESBORO AR
72401-6621
US

IV. Provider business mailing address

4334 E HIGHLAND DR
JONESBORO AR
72401-6621
US

V. Phone/Fax

Practice location:
  • Phone: 870-207-0421
  • Fax: 870-207-0559
Mailing address:
  • Phone: 870-207-0421
  • Fax: 870-207-0559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number238448
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: