Faughn, Philip Ray

Faughn, Philip Ray is an sole proprietor health care provider with primary practice located at 225 E Jackson Ave , Jonesboro AR 72401-3119. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Faughn, Philip Ray can be contacted via phone (870) 207-4100.

Contact Information

Primary practice address
225 E Jackson Ave Jonesboro AR 72401-3119
Phone: (870) 207-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A006105 Arkansas

Profile Details

NPI number 1932664067
LBN Legal business name Faughn, Philip Ray
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2019
Last updated Feb 3rd, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932664067 NPPES
Arkansas MEDICAID A006105

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