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General NPI Number Information
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NPI Number | 1255174181
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Entity Type | Individual
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Provider Name | KRISLYN N CARDER NP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 262 W VAN ASCHE LOOP STE 40
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4996
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Country | US
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Telephone | 844-215-0731
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Fax |
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Provider Business Mailing Address
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Address Line | 2884 W MILLSTONE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-5004
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Country | US
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Telephone | 765-592-7172
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 234113
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License Number State | AR
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