NPI 1053120329

Grace Taylor Long, PA

Practitioner Physician Assistant Fayetteville, AR

Practice location

Address: 3336 N Futrall Dr, Fayetteville, AR 72703-4057
Phone: (479) 463-3000
Fax: (479) 463-3050

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1053120329
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2025
Record last updated: 2 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.