Basic Information
| Provider Information | |||||||||
| NPI: | 1013120591 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCLAUGHLIN | ||||||||
| FirstName: | HOLLIE | ||||||||
| MiddleName: | KAY | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MSN, APN, FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 609 BLOSSOM LN | ||||||||
| Address2: | |||||||||
| City: | TRUMANN | ||||||||
| State: | AR | ||||||||
| PostalCode: | 724725010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8704830051 | ||||||||
| FaxNumber: | 8704830590 | ||||||||
| Practice Location | |||||||||
| Address1: | 417 W MAIN ST | ||||||||
| Address2: | |||||||||
| City: | TRUMANN | ||||||||
| State: | AR | ||||||||
| PostalCode: | 724723116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8704837039 | ||||||||
| FaxNumber: | 8704830590 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | A01892 | AR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.