Arkansas Family Medicine Pa | |
15400 Chenal Pkwy Suite 130 Little Rock AR 72211-2016 | |
(501) 725-7919 | |
Not Available |
Full Name | Arkansas Family Medicine Pa |
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Speciality | Family Medicine |
Location | 15400 Chenal Pkwy, Little Rock, Arkansas |
Authorized Official Name and Position | Allison Richardson (OWNER) |
Authorized Official Contact | 5017257919 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arkansas Family Medicine Pa 15400 Chenal Pkwy Suite 130 Little Rock AR 72211-2016 Ph: (501) 725-7919 | Arkansas Family Medicine Pa 15400 Chenal Pkwy Suite 130 Little Rock AR 72211-2016 Ph: (501) 725-7919 |
NPI Number | 1902340052 |
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Provider Enumeration Date | 12/08/2016 |
Last Update Date | 12/08/2016 |
Medicare PECOS PAC ID | 3779868377 |
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Medicare Enrollment ID | O20170322001744 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902340052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alison Richardson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457318065 PECOS PAC ID: 8224009915 Enrollment ID: I20040805000047 |
Provider Name | Linda G Rollins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275504516 PECOS PAC ID: 9032155627 Enrollment ID: I20050705001020 |
Provider Name | Jarrett Elaine Sherrill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346684594 PECOS PAC ID: 3274774765 Enrollment ID: I20130725000595 |
Provider Name | Emily Fry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578956223 PECOS PAC ID: 9032439435 Enrollment ID: I20150527001050 |
Provider Name | Amanda Stark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316414642 PECOS PAC ID: 2466706395 Enrollment ID: I20181113001734 |
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