Ms Melody A Walls, ACNP | |
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
(479) 787-5221 | |
(479) 787-5613 |
Full Name | Ms Melody A Walls |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
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 |
---|---|---|---|
1366537466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | APN6181 (Tennessee) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | A004910 (Arkansas) | Primary |
Entity Name | Sgoh Acquisition Inc |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
Mailing Address | Practice Location Address |
---|---|
Ms Melody A Walls, ACNP 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 | Ms Melody A Walls, ACNP 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 | |
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 | |
Mrs. Tracy Leigh Lowry, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 |