IndividualActive
Amy Gillham
NPI 1043693567 · Registered Nurse · Farmington, AR
Provider details
- NPI number
- 1043693567
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RTP-014741 (AR)
Practice location
120 Southwinds Rd Ste 2
Farmington, AR 72730-8652
Phone: (479) 300-6400
Mailing address
120 Southwinds Rd Ste 2
Farmington, AR 72730-8652
Registry dates
- Enumerated
- 2015-07-01
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.