| Archwell Health Professional Services Of Arkansas Pa | |
|
2801 S Olive St Ste 33 Pine Bluff AR 71603-5413 | |
| (888) 987-1151 | |
| Not Available |
| Full Name | Archwell Health Professional Services Of Arkansas Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2801 S Olive St Ste 33, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 6153148033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archwell Health Professional Services Of Arkansas Pa 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: (888) 987-1151 | Archwell Health Professional Services Of Arkansas Pa 2801 S Olive St Ste 33 Pine Bluff AR 71603-5413 Ph: (888) 987-1151 |
| NPI Number | 1154153518 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154153518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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