Caitlin Abiseid Shull, APRN | |
194 Shake Rag Rd, Clinton, AR 72031 | |
(501) 745-2800 | |
(501) 745-8864 |
Full Name | Caitlin Abiseid Shull |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 194 Shake Rag Rd, Clinton, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437668175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A005223 (Arkansas) | Primary |
Entity Name | Family Practice Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013108240 PECOS PAC ID: 2365706504 Enrollment ID: O20180516000134 |
Mailing Address | Practice Location Address |
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Caitlin Abiseid Shull, APRN Po Box 1100, Clinton, AR 72031-1100 Ph: (501) 745-2800 | Caitlin Abiseid Shull, APRN 194 Shake Rag Rd, Clinton, AR 72031 Ph: (501) 745-2800 |
Katherine Elizabeth Dunham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Volunteer Pkwy, Clinton, AR 72031 Phone: 501-745-3388 Fax: 501-745-3006 | |
Doris Virginia Sayner, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 Medical Center Parkway, Clinton, AR 72031 Phone: 501-745-7888 Fax: 501-745-4401 | |
Lesia Nicole Clute, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 Shake Rag Rd, Clinton, AR 72031 Phone: 501-253-6208 | |
Angela Gail Dodd, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 465 Medical Center Parkway, Clinton, AR 72031 Phone: 501-745-7888 Fax: 877-460-4576 | |
Jennie Anderson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2526 Highway 65 S Ste 201, Clinton, AR 72031 Phone: 501-745-8007 Fax: 501-745-8220 | |
Kayla Brooke Speights, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 465 Medical Center Parkway, Clinton, AR 72031 Phone: 501-745-7888 Fax: 877-460-4576 | |
Macy Annette Massey, CPNP-PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2526 Highway 65 S Ste 203, Clinton, AR 72031 Phone: 501-745-4914 Fax: 501-745-6374 |