Beth Katelynn Holloway, APRN | |
4800 S Hazel St, Pine Bluff, AR 71603-6860 | |
(870) 534-5533 | |
Not Available |
Full Name | Beth Katelynn Holloway |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4800 S Hazel St, Pine Bluff, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134803323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 224850 (Arkansas) | Primary |
Entity Name | Integrated Care Professionals Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164762662 PECOS PAC ID: 8527200955 Enrollment ID: O20130814000016 |
Entity Name | Icp Arkansas Aco Billing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681 |
Mailing Address | Practice Location Address |
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Beth Katelynn Holloway, APRN 219 Grant 748, Sheridan, AR 72150-6905 Ph: (870) 308-9482 | Beth Katelynn Holloway, APRN 4800 S Hazel St, Pine Bluff, AR 71603-6860 Ph: (870) 534-5533 |
Mrs. Debra Venola Davis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3104 S Catalpa St Ste 9, Pine Bluff, AR 71603 Phone: 870-718-2822 | |
Mrs. Diana Gray Millenbaugh, MSN, RNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Camden Rd Ste 12, Pine Bluff, AR 71603 Phone: 870-534-4847 Fax: 870-534-4884 | |
Mrs. Lillian Jynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Blake St, Pine Bluff, AR 71601 Phone: 870-536-6600 | |
Dr. Michelle Leigh Bagby, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2906 Market St, Pine Bluff, AR 71601 Phone: 870-850-8200 Fax: 870-850-8424 | |
Collene Rogers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603 Phone: 870-541-7211 | |
Ms. Ernice Lashette Rogers, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Rike Dr, Pine Bluff, AR 71603 Phone: 870-535-2142 | |
Cornelia Rhodes, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 W 24th Ave, Pine Bluff, AR 71603 Phone: 870-267-4912 |