Most Relevant Information
Provider Data
| NPI Number: | 1003247487 |
| Provider Name: | MICHELLE COLBURN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | L044036 |
Most Important Dates
| Enumeration Date: | 12/10/2013 |
| Last Updated: | 12/10/2013 |
Provider Practice Location
2707 BROWNS LN
JONESBORO
AR
724017213
Practice Location Phone/Fax
| Phone: | 8709724939 |
| Fax: |
Provider Mailing Location
2707 BROWNS LN
JONESBORO
AR
724017213
Provider Mailing Phone/Fax
| Phone: | 8709724939 |
| Fax: |