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NPI Code Detail

MEDICARE: MYKENZI LAINE WORD

MEDICARE: MYKENZI LAINE WORD
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
1363LF0000XFamily Nurse Practitioner122180AR

General Provider Information

NPI Number : 1841024957
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYKENZI LAINE WORD
Provider Business Mailing Address
First Line : 900 MAGNOLIA RD
Second Line :
City : CAMDEN
State : AR
Zip : 71701-4626
Country : US
Telephone Number : 870-877-7060
Fax Number :
Provider Business Practice Location Address
First Line : 900 MAGNOLIA RD
Second Line :
City : CAMDEN
State : AR
Zip : 71701-4626
Country : US
Telephone Number : 870-877-7060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2024
Last Update Date : 08/29/2024

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Directions to “ MYKENZI LAINE WORD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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