Provider Demographics
NPI:1598984056
Name:CURTIS, DEANNA MICHELE (APRN)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:MICHELE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 E BEEBE CAPPS EXPY
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-6896
Mailing Address - Country:US
Mailing Address - Phone:501-305-4348
Mailing Address - Fax:501-305-4350
Practice Address - Street 1:1621 E BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143
Practice Address - Country:US
Practice Address - Phone:501-305-4348
Practice Address - Fax:501-305-4350
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01249363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARAO1249OtherSTATE LICENSE
ARMC0331215OtherDEA REGISTRATION NUMBER