Tiffany Wargo, APRN | |
300 S School St, Dermott, AR 71638-2127 | |
(870) 538-3355 | |
Not Available |
Full Name | Tiffany Wargo |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 300 S School St, Dermott, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104361880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | A004906 (Arkansas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | A009406 (Arkansas) | Primary |
Entity Name | Bradley County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972620649 PECOS PAC ID: 2961316112 Enrollment ID: O20040105000148 |
Mailing Address | Practice Location Address |
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Tiffany Wargo, APRN 304 East Central, Warren, AR 71671-0509 Ph: (870) 226-8636 | Tiffany Wargo, APRN 300 S School St, Dermott, AR 71638-2127 Ph: (870) 538-3355 |
Rebekah Ayecock, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 South School St, Dermott, AR 71638 Phone: 870-538-3355 Fax: 855-811-4203 | |
Brenda Fowler, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 S Pecan St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701 | |
Kimberly Weeks, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 | |
Courtney Shay Johnson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701 | |
Mrs. Dana Shea Phillips, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701 | |
Shenika Jackson-king, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701 |