NPI 1063577682

James Wilson

Practitioner Personal Care Attendant Marianna, AR

Practice location

Address: 1679 Highway 243 South, Marianna, AR 72360
Phone: (870) 295-3557
Fax: (870) 295-3686

Registered specialties (2)

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence 32903 (AR)

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Lodging Provider

Other Service Providers Taxonomy 177F00000X Licence 101 (AR)

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Registry record

NPI: 1063577682
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2006
Record last updated: 27 Dec 2024

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.