Dut Majok Dut, APN | |
5396 Hollow Creek Ln, Jonesboro, AR 72404-7075 | |
(870) 351-7048 | |
Not Available |
Full Name | Dut Majok Dut |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 5396 Hollow Creek Ln, Jonesboro, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881329928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 124303 (Arkansas) | Primary |
Entity Name | Sudesh Banaji Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639319411 PECOS PAC ID: 4486719879 Enrollment ID: O20091009000319 |
Mailing Address | Practice Location Address |
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Dut Majok Dut, APN 5396 Hollow Creek Ln, Jonesboro, AR 72404-7075 Ph: (870) 351-7048 | Dut Majok Dut, APN 5396 Hollow Creek Ln, Jonesboro, AR 72404-7075 Ph: (870) 351-7048 |
Mrs. Renata Jane Vaughn, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970 | |
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675 | |
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630 | |
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088 | |
Katie J Hutton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726 |