Mrs Tracy Leigh Lowry, FNP-C | |
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
(479) 787-5221 | |
(479) 787-5613 |
Full Name | Mrs Tracy Leigh Lowry |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1101 Jackson St Sw, Gravette, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407122179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2012005448 (Missouri) | Primary |
Entity Name | Sgoh Acquisition Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracy Leigh Lowry, FNP-C 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 | Mrs Tracy Leigh Lowry, FNP-C 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 |
Amelia Dee Jackson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-9692 | |
Gregory Scott Forrester, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-344-6870 Fax: 479-344-6865 | |
Tamra T Lamer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-1060 | |
Ms. Melody A Walls, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Sonrisa Holmes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404 | |
Ashlea Nicole Ritter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404 |