Jtn Contracting Pllc | |
2 Saint Vincent Cir Little Rock AR 72205-5423 | |
(501) 223-9948 | |
Not Available |
Full Name | Jtn Contracting Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2 Saint Vincent Cir, Little Rock, Arkansas |
Authorized Official Name and Position | Jeffrey Taylor Neal (OWNER) |
Authorized Official Contact | 6023200317 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jtn Contracting Pllc Po Box 242232 Little Rock AR 72223-0022 Ph: () - | Jtn Contracting Pllc 2 Saint Vincent Cir Little Rock AR 72205-5423 Ph: (501) 223-9948 |
NPI Number | 1710557095 |
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Provider Enumeration Date | 06/29/2021 |
Last Update Date | 07/25/2023 |
Certification Date | 07/25/2023 |
Medicare PECOS PAC ID | 4284038886 |
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Medicare Enrollment ID | O20210804000926 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710557095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Jeffrey Taylor Neal |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295093847 PECOS PAC ID: 3870819816 Enrollment ID: I20170718001688 |
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