Healthcare Provider Details
I. General information
NPI: 1154658060
Provider Name (Legal Business Name): LYNN MATTHEWS STRICKLAND APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/13/2009
Last Update Date: 11/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
253 S. CONCORD
STRONG AR
71765
US
IV. Provider business mailing address
4447 HIGHWAY 7 S
CAMDEN AR
71701-9662
US
V. Phone/Fax
- Phone: 870-797-7620
- Fax: 870-797-2459
- Phone: 870-689-3714
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AO1778 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: