Provider Demographics
NPI:1700839750
Name:POOLE, DARLENE J (LPN)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:J
Last Name:POOLE
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 1:202 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-8215
Mailing Address - Country:US
Mailing Address - Phone:870-777-9051
Mailing Address - Fax:870-777-3104
Practice Address - Street 1:202 E 20TH ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-8215
Practice Address - Country:US
Practice Address - Phone:870-777-9051
Practice Address - Fax:870-777-3104
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARL27066164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse