| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1912960519 | MCDANIEL | CRAIG | A. | 3104 APACHE DR | JONESBORO | AR | 724017405 | |
| 1124089297 | VINES | TROY | A. | 3104 APACHE DR | JONESBORO | AR | 724017405 | |
| 1619450095 | WRAY | CANDY | ELAINE | 3104 APACHE DR | JONESBORO | AR | 724017405 |