| Organization Name: | DIABETIC EXPERTS OF ARKANSAS, LLC |
| NPI Number: | 1073877023 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHEL JEANNETTE JOHNSON (NURSE PRACITIONER/OWNER) |
| Mailing Address: | 905 20th St Suite B Batesville |
| State: | AR US |
| Postal Code: | 725017008 |
| Phone Number: | 8705694942 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2012 |
| NPI Last Update Date: | 11/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | P01429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |