DESTINY YVONNE FRAZIER NPI 1164175303

NPI Information

NPI: 1164175303
Provider Name: DESTINY YVONNE FRAZIER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1012 PURITAN DR
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 313-8119
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Destiny Yvonne Frazier is a family nurse practitioner in Jacksonville, AR. Destiny Yvonne Frazier NPI is 1164175303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1012 PURITAN DR
JACKSONVILLE, AR
ZIP 72076-081
Phone: (501) 313-8119

The enumeration date for this NPI number is 1/28/2022 and was last updated on 1/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	218640	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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