Conklin, Derrica

Conklin, Derrica is an sole proprietor health care provider with primary practice located at 3359 W Cornell Dr , Fayetteville AR 72704-6775. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Conklin, Derrica can be contacted via phone (479) 200-8054.

Contact Information

Primary practice address
3359 W Cornell Dr Fayetteville AR 72704-6775
Phone: (479) 200-8054
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X Arkansas

Profile Details

NPI number 1497139174
LBN Legal business name Conklin, Derrica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2015
Last updated Jul 13th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers