| Jennifer Halliburton, | |
|
105 N Jackson St, Cabot, AR 72023-3058 | |
| (501) 941-3522 | |
| (501) 941-3525 |
| Full Name | Jennifer Halliburton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 105 N Jackson St, Cabot, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962825562 | NPI | - | NPPES |
| 200980758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004005 (Arkansas) | Primary |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336462332 PECOS PAC ID: 7911802079 Enrollment ID: O20100504000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Halliburton, Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Jennifer Halliburton, 105 N Jackson St, Cabot, AR 72023-3058 Ph: (501) 941-3522 |
Carley Ann Madden, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 Richie Rd, Cabot, AR 72023 Phone: 501-941-0940 Fax: 501-941-1875 | |
Shawn Crow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Cossatot Cir, Cabot, AR 72023 Phone: 501-941-9451 | |
Amy Sullivan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5830 Highway 5, Cabot, AR 72023 Phone: 501-941-1376 Fax: 870-569-3594 | |
Jessica Lynn Burgess, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5830 Highway 5, Cabot, AR 72023 Phone: 501-941-1376 Fax: 501-941-2793 | |
Amanda Kathryn Kincade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5830 Highway 5, Cabot, AR 72023 Phone: 501-941-1376 Fax: 501-941-2793 | |
Todd Christopher Anderson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Jackson Street, Cabot, AR 72023 Phone: 501-941-3522 Fax: 501-941-3525 | |
Danica Gayle Little, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1106 S Pine St Ste B, Cabot, AR 72023 Phone: 501-422-6373 Fax: 501-422-6375 |