Provider Demographics
NPI:1578989893
Name:MCCURRY, DEBRA KAY (LPN)
Entity Type:Individual
Prefix:MISS
First Name:DEBRA
Middle Name:KAY
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 920
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71754
Mailing Address - Country:US
Mailing Address - Phone:870-904-5309
Mailing Address - Fax:870-234-7168
Practice Address - Street 1:3627 HWY 57 NORTH
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71754
Practice Address - Country:US
Practice Address - Phone:870-904-5309
Practice Address - Fax:870-904-5309
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARL037621164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse