Revitalize IV Hydration and Wellness Clinc LLC
NPI #1871369272 in Jonesboro, Arkansas
Provider Information
- NPI Number
- 1871369272
- Entity Type
- Organization
- Organization Name
- Revitalize IV Hydration and Wellness Clinc LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 28, 2023
- Last Updated
- Dec 4, 2023
Practice Location
Authorized Official
- Name
- FELICA JOHNSON, NURSE PRACTITIONER
- Title
- FNP
- Phone
- (870) 273-4164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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