National Provider Identifier Database

RANDY ABBOTT, FNP – NPI #1790100329
Family


Contact Information

RANDY ABBOTT, FNP
1815 MOUNT TABOR RD
CABOT, AR72023-9506
Phone: 501-658-1451
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for RANDY ABBOTT

NPI Number 1790100329
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/18/2014
Last updated 02/18/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • AR License #: A003839
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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