Search › Arkansas › 374J00000X
Derrica Conklin
NPI 1497139174 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3359 W Cornell Dr
Fayetteville, AR 72704 - Phone
- (479) 200-8054
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas