NPI 1497139174
Derrica Conklin
Practice location
- Address
- 3359 W Cornell Dr, Fayetteville, AR 72704-6775
- Phone
- (479) 200-8054
Registered specialties
Doula
Primary
Registry record
- NPI
- 1497139174
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jul 2015
- Record last updated
- 13 Jul 2015
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.