| Doctor Name: | WESLEY WARD |
| NPI Number: | 1568661395 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APN |
| License Number: | A02979 |
| Business Practice Address: | 8 S Broadview St Suites 5 & 6 Greenbrier, AR - 720589601 |
| Business Phone Number: | 5015810207 |
| Business Fax Number: | 5015810209 |
| Mailing Address: | Po Box 1169, GREENBRIER |
| State: | AR |
| Postal Code: | 720581169 |
| Phone Number: | 5015810207 |
| Fax Number: | 5015810209 |
| NPI Enumeration Date: | 07/12/2007 |
| NPI Last Update Date: | 03/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A02979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |