Healthcare Provider Details

I. General information

NPI: 1760390181
Provider Name (Legal Business Name): MRS. PATRICIA LYNN TREECE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W COURT ST
PARAGOULD AR
72450-4025
US

IV. Provider business mailing address

610 SAINT RENEE DR
PARAGOULD AR
72450-2463
US

V. Phone/Fax

Practice location:
  • Phone: 870-476-1525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberR045376
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: