Hope And Wellness Pllc | |
1003 Schneider Dr Malvern AR 72104-4811 | |
(501) 653-7604 | |
Not Available |
Full Name | Hope And Wellness Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1003 Schneider Dr, Malvern, Arkansas |
Authorized Official Name and Position | Schantz Flores (APRN) |
Authorized Official Contact | 5016537604 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope And Wellness Pllc Po Box 451 Malvern AR 72104-0451 Ph: (501) 653-7604 | Hope And Wellness Pllc 1003 Schneider Dr Malvern AR 72104-4811 Ph: (501) 653-7604 |
NPI Number | 1700593183 |
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Provider Enumeration Date | 11/03/2022 |
Last Update Date | 11/03/2022 |
Certification Date | 11/03/2022 |
Medicare PECOS PAC ID | 3678945201 |
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Medicare Enrollment ID | O20230208001848 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700593183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Charles W Jenson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285951079 PECOS PAC ID: 6103141643 Enrollment ID: I20180928001833 |
Provider Name | Schantz A Flores |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164054649 PECOS PAC ID: 2466881909 Enrollment ID: I20200403000479 |
Provider Name | Paula C Quattlebaum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487376935 PECOS PAC ID: 9638547540 Enrollment ID: I20221128001730 |
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