IndividualActive
Destiny Wynne
NPI 1124985460 · Registered Nurse · Lowell, AR
Provider details
- NPI number
- 1124985460
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R084646 (AR)
Specialties & taxonomies
Nursing Service Providers
Practice location
101 Monument St
Lowell, AR 72745-6042
Phone: (479) 361-8601
Approximate (ZIP-level) locationGet directions
Mailing address
101 Monument St Ste D
Lowell, AR 72745-5030
Registry dates
- Enumerated
- 2026-01-08
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.