Tiffany Lack, APRN, FNP-BC | |
2001 Club Manor Dr Ste S, Maumelle, AR 72113-7417 | |
(501) 734-8085 | |
(501) 734-8085 |
Full Name | Tiffany Lack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2001 Club Manor Dr Ste S, Maumelle, Arkansas |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700431723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 123569 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maumelle Family Medicine Llc | 0941649073 | 2 |
Entity Name | Tracy Thomas Phillips |
---|---|
Entity Type | Practitioner - Family Practice |
Entity Identifiers | NPI Number: 1679571863 PECOS PAC ID: 2163555319 Enrollment ID: I20100809000688 |
Entity Name | Natural State Health Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912141730 PECOS PAC ID: 4082800818 Enrollment ID: O20101119000023 |
Entity Name | Maumelle Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033969290 PECOS PAC ID: 0941649073 Enrollment ID: O20240422002230 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Lack, APRN, FNP-BC 2001 Club Manor Dr Ste S, Maumelle, AR 72113-7417 Ph: (501) 734-8085 | Tiffany Lack, APRN, FNP-BC 2001 Club Manor Dr Ste S, Maumelle, AR 72113-7417 Ph: (501) 734-8085 |
Mrs. Rachael Constance Curtis, APRN-CNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Club Manor Dr Ste 2, Maumelle, AR 72113 Phone: 501-851-7400 | |
Laura Farley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Club Manor Dr Ste 2, Maumelle, AR 72113 Phone: 501-851-7400 Fax: 501-851-4753 | |
Mrs. Mary Ann Garnica, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Ouachita Dr, Maumelle, AR 72113 Phone: 918-978-9555 | |
Laura Nicole Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Club Manor Dr Ste S, Maumelle, AR 72113 Phone: 501-734-8085 Fax: 501-734-8088 | |
Toronsa Mechel Simpson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Prince Dr, Maumelle, AR 72113 Phone: 501-319-4717 | |
Mrs. Elizabeth Ann Kirk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8060 Counts Massie Rd Integrated Care Professionals, Maumelle, AR 72113 Phone: 479-968-8279 Fax: 479-250-0500 | |
Stacy Graham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 Saint Thomas Dr, Maumelle, AR 72113 Phone: 501-912-2362 |