Barbara Clements Rand

Individual provider Active NPI Driver · Jonesboro, AR

NPI 1982161154 · NPPES record last updated Feb 25, 2019

Key facts

NPI
1982161154
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
938173936 (AR)
Practice address
806 Glendale St
Jonesboro, AR 72401-4455
Phone
(870) 333-2600
Fax
(870) 300-2337
NPI assigned
Feb 25, 2019
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

State licenses

LicenseStateTypeSpecialty
938173936ARMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 938173936 AR Yes

Addresses

Primary practice location

806 Glendale St
Jonesboro, AR 72401-4455

Mailing address

1900 Stillwater Dr
Jonesboro, AR 72404-9119
Phone (870) 932-3600

Other providers in Jonesboro, AR

All providers in Jonesboro, AR · Driver in Arkansas

Sources for this page

Verify at the official NPI Registry.