Most Relevant Information
Provider Data
| NPI Number: | 1003449687 |
| Provider Name: | AMY MARY ELIZABETH DAUGHHETEE APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 123724 |
Most Important Dates
| Enumeration Date: | 02/21/2020 |
| Last Updated: | 02/21/2020 |
Provider Practice Location
225 EAST WASHINGTON AVE
JONESBORO
AR
72401
Practice Location Phone/Fax
| Phone: | 8702074100 |
| Fax: |
Provider Mailing Location
225 EAST WASHINGTON AVE
JONESBORO
AR
72401
Provider Mailing Phone/Fax
| Phone: | 8702074100 |
| Fax: |