COURTNEY BICKERSTAFF APN,PLLC
Nursing at Ashlea Place Dr, Benton, AR

License number
Arkansas A03082
Category
Nursing
Type
Nursing Facility/Intermediate Care Facility
Owner
Name: COURTNEY CAMILLE BICKERSTAFF APN
Title: APN
Phone: (501) 909-1153
Address
Address
1309 Ashlea Place Dr, Benton, AR 72022
National Provider ID: 1295071322
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COURTNEY BICKERSTAFF, APN, PLLC

1309 Ashlea Pl, Benton, AR 72022

Status:
Inactive
Registration:
Nov 20, 2012
State ID:
811024571
Business type:
Limited Liability Company
Incorporator/Organizer:
Courtney Bickerstaff (Incorporator/Organizer)
Filled under act:
Domestic LLC; 1003 of 1993

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