Provider Demographics
NPI:1356017230
Name:SLINKARD, NATHAN JOSEPH (MS, RD, LD)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:JOSEPH
Last Name:SLINKARD
Suffix:
Gender:M
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SNOW MASS CV
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6095
Mailing Address - Country:US
Mailing Address - Phone:903-227-9093
Mailing Address - Fax:501-214-6870
Practice Address - Street 1:4 SNOW MASS CV
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6095
Practice Address - Country:US
Practice Address - Phone:903-227-9093
Practice Address - Fax:501-214-6870
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1782133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered