Provider Demographics
NPI:1982044970
Name:WOOD, LAURA HALFORD (APN,CNS)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:HALFORD
Last Name:WOOD
Suffix:
Gender:F
Credentials:APN,CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 COUNTY ROAD 741
Mailing Address - Street 2:
Mailing Address - City:BROOKLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72417-8686
Mailing Address - Country:US
Mailing Address - Phone:870-390-7006
Mailing Address - Fax:
Practice Address - Street 1:538 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3109
Practice Address - Country:US
Practice Address - Phone:870-207-7380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-05
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARS002273364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health