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NPI Code Detail

MEDICARE: CAROLYN MARIE MCKNIGHT FNP

MEDICARE:   CAROLYN MARIE MCKNIGHT  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner221894AR

General Provider Information

NPI Number : 1699492637
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN MARIE MCKNIGHT FNP
Provider Business Mailing Address
First Line : 1466 CONES RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-8707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 121 CORDOBA CENTER DR STE 400
Second Line :
City : HOT SPRINGS VILLAGE
State : AR
Zip : 71909-4036
Country : US
Telephone Number : 501-915-0837
Fax Number : 501-915-0978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2022
Last Update Date : 10/20/2022

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Directions to “ CAROLYN MARIE MCKNIGHT FNP” Practice Location

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