Hurd, Lisa Michelle

Hurd, Lisa Michelle is an individual health care provider with primary practice located at 300 Carson St , Jonesboro AR 72401-3104. 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. Hurd, Lisa Michelle can be contacted via phone (870) 932-1198.

Contact Information

Primary practice address
300 Carson St Jonesboro AR 72401-3104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X S02260 Arkansas

Profile Details

NPI number 1740565324
LBN Legal business name Hurd, Lisa Michelle
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2011
Last updated May 9th, 2012 - about 14 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 1740565324 NPPES
Arkansas MEDICAID 190442758

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