Mack, Rickey Edna

Mack, Rickey Edna is an individual health care provider with primary practice located at 120 Adcock Rd Ste D , Hot Springs AR 71913-7958. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mack, Rickey Edna can be contacted via phone (501) 547-5961.

Contact Information

Primary practice address
120 Adcock Rd Ste D Hot Springs AR 71913-7958
Phone: (501) 547-5961
Fax: (501) 651-4296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A005560 Arkansas

Profile Details

NPI number 1528560513
LBN Legal business name Mack, Rickey Edna
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated Mar 7th, 2018 - 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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