NPI 1578690756 · live from the CMS NPI Registry
Judith Grace Fetters, ARNP
Nurse Practitioner, Pediatrics in Lowell, AR. National Provider Identifier 1578690756, active.
NPI record
| NPI | 1578690756 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 325 S 6th Pl, Lowell, AR 72745 |
| Practice phone | 479-636-9234 |
| Enumerated | February 27, 2007 |
| Last updated | August 3, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A004744 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.