Mack, Rickey Edna

Mack, Rickey Edna is an individual health care provider with primary practice located at 516 Highway 8 E , Glenwood AR 71943-9222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mack, Rickey Edna can be contacted via phone (870) 828-1151.

Contact Information

Primary practice address
516 Highway 8 E Glenwood AR 71943-9222
Phone: (870) 828-1151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 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 Sep 22nd, 2026 - about last week

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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