Healthcare Provider Details

I. General information

NPI: 1902736929
Provider Name (Legal Business Name): MUSE FAMILY PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 SUMMER BLVD
TRUMANN AR
72472-2017
US

IV. Provider business mailing address

143 HWY 463 S
TRUMANN AR
72472
US

V. Phone/Fax

Practice location:
  • Phone: 870-284-0688
  • Fax:
Mailing address:
  • Phone: 870-284-0688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KEECHIA MUSE
Title or Position: APRN/OWNER
Credential: APRN
Phone: 870-284-0688