Provider Demographics
NPI:1093107906
Name:DAY, DEBBIE LYNN (RN)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:LYNN
Last Name:DAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 461
Mailing Address - Street 2:
Mailing Address - City:WESTERN GROVE
Mailing Address - State:AR
Mailing Address - Zip Code:72685-9644
Mailing Address - Country:US
Mailing Address - Phone:870-416-9594
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 461
Practice Address - Street 2:
Practice Address - City:WESTERN GROVE
Practice Address - State:AR
Practice Address - Zip Code:72685-9644
Practice Address - Country:US
Practice Address - Phone:870-416-9594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR22719101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool