Tameka Henry, APRN | |
1090 Arnold Dr, Jacksonville, AR 72099-7274 | |
(501) 987-5433 | |
Not Available |
Full Name | Tameka Henry |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1090 Arnold Dr, Jacksonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730594342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A004115 (Arkansas) | Primary |
Entity Name | St Vincent Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
Mailing Address | Practice Location Address |
---|---|
Tameka Henry, APRN 1090 Arnold Dr, Jacksonville, AR 72099-4933 Ph: (501) 987-5433 | Tameka Henry, APRN 1090 Arnold Dr, Jacksonville, AR 72099-7274 Ph: (501) 987-5433 |
Ashley Marie Randall, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 216 Chigger Valley Rd, Jacksonville, AR 72076 Phone: 501-650-2041 | |
Rita Margaret Odom, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Braden St, Jacksonville, AR 72076 Phone: 800-893-9698 | |
Destiny Yvonne Frazier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1012 Puritan Dr, Jacksonville, AR 72076 Phone: 501-313-8119 | |
Whitney Reed, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951 | |
Ashley Renee Poppy, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Braden St, Jacksonville, AR 72076 Phone: 501-985-2537 | |
Sue Sullivan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041 | |
Dr. Cesalie Deonne Wallace, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 North First Street, Jacksonville, AR 72076 Phone: 501-982-7477 |