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General NPI Number Information
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NPI Number | 1588334361
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Entity Type | Organization
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Legal Business Name | PARKER JOINER PEDIATRIC APRN SERVICES PLLC
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 22461 INTERSTATE 30 STE 402
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City | BRYANT
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State | AR
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Zip | 72022-2383
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Country | US
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Telephone | 501-481-8800
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Fax | 501-500-6382
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Provider Business Mailing Address
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Address Line | 210 S LAUREL ST
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City | BRYANT
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State | AR
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Zip | 72022-4022
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Country | US
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Telephone | 501-590-0934
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MRS. PRISCILLA PARKER JOINER
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Credential | MSNC, APRN, CPNP-PC
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Telephone | 501-590-0934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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