NPI 1053945352

Robert Leroy Johnson

Practitioner Attendant Care Provider Hardy, AR

Practice location

Address: 29 Tucker Rd, Hardy, AR 72542-9115
Phone: (870) 955-0972
Mailing address: 29 Tucker Rd., Hardy, AR 72542

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

Other Technician providers in Arkansas →

Registry record

NPI: 1053945352
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Feb 2020
Record last updated: 10 Jun 2020

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.