Organization · Type 2 NPI
Revitalize IV Hydration and Wellness Clinc LLC
Family Nurse Practitioner · Jonesboro, AR
NPI number
1871369272
Active
Practice location
2704 Phillips Dr Ste A
Jonesboro, AR 72401-7399
Fax (302) 209-5619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1871369272
Revitalize IV Hydration and Wellness Clinc LLC's National Provider Identifier is 1871369272, issued on Nov 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jonesboro, AR. The record was last updated on Dec 4, 2023.