Destiny Yvonne Frazier Valid NPI

Individual provider · Family Nurse Practitioner · Jacksonville, AR

NPI

1164175303

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

218640 (AR)

Sex

Female

Sole proprietor

No

Enumerated

2022-01-28

Last updated

2026-05-13