The Ridge Medical Clinic
NPI #1104506617 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1104506617
- Entity Type
- Organization
- Organization Name
- The Ridge Medical Clinic
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 19, 2023
- Last Updated
- Jul 19, 2023
Practice Location
- Address
- 114 N WASHINGTON ST
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-3327
- Phone
- (870) 317-5676
Authorized Official
- Name
- DEANNA KAY MICHAELIS, APRN
- Title
- FULL INDEPENDENT PRACTICE
- Phone
- (870) 317-5676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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