Most Relevant Information
Provider Data
| NPI Number: | 1003699216 |
| Provider Name: | BREANNA GURLEY QBHP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2023 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
1101 W MORGAN ST STE 8
PARAGOULD
AR
724502848
Practice Location Phone/Fax
| Phone: | 8703359483 |
| Fax: | 8703359487 |
Provider Mailing Location
1815 PLEASANT GROVE RD
JONESBORO
AR
724057870
Provider Mailing Phone/Fax
| Phone: | 8709336886 |
| Fax: | 8703361339 |