Provider Demographics
NPI:1386060010
Name:GUINN, JOHN ANDREW (APRN)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ANDREW
Last Name:GUINN
Suffix:
Gender:M
Credentials:APRN
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Mailing Address - Street 1:PO BOX 11898
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-0037
Mailing Address - Country:US
Mailing Address - Phone:870-639-9322
Mailing Address - Fax:501-492-6477
Practice Address - Street 1:1906 W HILLSBORO ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-6806
Practice Address - Country:US
Practice Address - Phone:870-639-9322
Practice Address - Fax:501-492-6477
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2020-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARA004048363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARA004048OtherAR APRN LICENSE
AR5CC43OtherBCBS