Individual provider · Type 1 NPI

Richard Walters

Student in an Organized Health Care Education/Training Program · Jonesboro, AR

NPI number 1154013829 Active

Practice location

4800 E Johnson Ave
Jonesboro, AR 72405-8413

Call (870) 936-1000 Map

Mailing address

4909 Reserve Blvd Apt C202
Jonesboro, AR 72405-8358

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154013829

Richard Walters's National Provider Identifier is 1154013829, issued on May 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jonesboro, AR. The record was last updated on May 22, 2023.