| Lisa Edwards, APRN | |
|
465 Medical Center Pkwy, Clinton, AR 72031-7946 | |
| (501) 745-7888 | |
| (877) 460-4576 |
| Full Name | Lisa Edwards |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 465 Medical Center Pkwy, 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 |
|---|---|---|---|
| 1437526241 | NPI | - | NPPES |
| 211519758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004514 (Arkansas) | Primary |
| Entity Name | Ozark Medical Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366614935 PECOS PAC ID: 2769559848 Enrollment ID: O20080916000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Edwards, APRN 465 Medical Center Pkwy, Clinton, AR 72031-7946 Ph: (501) 745-7888 | Lisa Edwards, APRN 465 Medical Center Pkwy, Clinton, AR 72031-7946 Ph: (501) 745-7888 |
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 |
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 |
Crystal Stripling, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 1341, Clinton, AR 72031 Phone: 501-918-0890 Fax: 866-535-4368 |
Allison Tiner, APRN 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 |