Organization · Type 2 NPI

J. W Nuckolls MD

Clinic/Center · Pine Bluff, AR

NPI number 1750345575 Active

Practice location

1801 W 40th Ave, Suite 1C
Pine Bluff, AR 71603-6956

Call (870) 541-0222 Map

Fax (870) 541-0315

Mailing address

1801 West 40th, Suite 1-C
Pine Bluff, AR 71603-6956

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XR2177 (AR)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

46 other providers at this address

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About NPI 1750345575

J. W Nuckolls MD's National Provider Identifier is 1750345575, issued on Apr 17, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Pine Bluff, AR. The record was last updated on Oct 26, 2007.