Basic Information
| Provider Information | |||||||||
| NPI: | 1679961213 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LLOYD | ||||||||
| FirstName: | JANA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2192 | ||||||||
| Address2: | |||||||||
| City: | FORREST CITY | ||||||||
| State: | AR | ||||||||
| PostalCode: | 723362192 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8706331737 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3998 HIGHWAY 1 N | ||||||||
| Address2: | |||||||||
| City: | FORREST CITY | ||||||||
| State: | AR | ||||||||
| PostalCode: | 723357637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8702088362 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2015 | ||||||||
| LastUpdateDate: | 01/06/2015 | ||||||||
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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 | 163W00000X | R073550 | AR | Y | Nursing Service Providers | Registered Nurse |
No ID Information.