Judy Faye Lattimore, RN
Individual provider Active NPI Registered Nurse · McGehee, AR
NPI 1962567255 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962567255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R63251 (AR)
- Practice address
- 2410 Hwy 65N
McGehee, AR 71654 - Phone
- (870) 222-3107
- Fax
- (870) 222-6741
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R63251 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R63251 | AR | Yes |
Addresses
Primary practice location
2410 Hwy 65N
McGehee, AR 71654
Mailing address
PO Box 214
McGehee, AR 71654
Phone (870) 222-3803
Other providers in McGehee, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.