Individual provider · NPI-1

Kathleen Nichole Burns, FNP-BC

Family Medicine · Texarkana, AR

NPI number1104696525
StatusActive
Last updated in NPPESJun 24, 2026

Details

NPI
1104696525
Entity type
Individual (NPI-1)
Name
Kathleen Nichole Burns
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 5, 2024
Certification date
Jun 24, 2026
Last updated
Jun 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine238154ARYes

Practice location

1902 Razorback Cir
Texarkana, AR 71854-4516

Phone 903-733-6599

Mailing address

1902 Razorback Cir
Texarkana, AR 71854-4516

Phone 903-733-6599

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