Healthcare Provider Details

I. General information

NPI: 1679495345
Provider Name (Legal Business Name): BRITTNEY LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W MAIN ST
WALNUT RIDGE AR
72476-1849
US

IV. Provider business mailing address

700 W MAIN ST
WALNUT RIDGE AR
72476-1849
US

V. Phone/Fax

Practice location:
  • Phone: 870-637-5903
  • Fax: 870-637-5908
Mailing address:
  • Phone: 870-637-5903
  • Fax: 870-637-5908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number238171
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: