Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKEY EDNA MACK, CNP
ActiveRICKEY EDNA MACK, CNP is a Adult Health Nurse Practitioner healthcare provider located in PERRYVILLE, Arkansas. NPI 1528560513 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · PERRYVILLE, AR
Registration Details
- NPI Number
- 1528560513
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2018 (8.422733903344 yrs)
- Last Updated
- Dec 9, 2024
- License
-
A005560 (AR)
Practice Information
- Address
-
1016 N FOURCHE AVEPERRYVILLE, AR, 721268545Browse AR providers · Browse ZIP 72126
- Phone
- 5012381284
- Fax
- 5016798970
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.