Individual provider · Type 1 NPI

Kacee Bodiford, APRN

Family Nurse Practitioner · Prairie Grove, AR

NPI number 1801350137 Active

Practice location

3150 E. Heritage Pwy
Prairie Grove, AR 72753-0000

Fax (479) 400-1151

Mailing address

PO Box 497
Augusta, AR 72006-0497

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XA006070 (AR)

Family Nurse Practitioner: Definition to come...

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About NPI 1801350137

Kacee Bodiford, APRN's National Provider Identifier is 1801350137, issued on Jan 31, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prairie Grove, AR. The record was last updated on Dec 9, 2019.