| Clinically Proven Healthcare | |
|
1905 E Beebe Capps Expy Searcy AR 72143-6973 | |
| (501) 278-7617 | |
| (501) 725-8813 |
| Full Name | Clinically Proven Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1905 E Beebe Capps Expy, Searcy, Arkansas |
| Authorized Official Name and Position | Shannon Putman (CEO/APRN) |
| Authorized Official Contact | 5012789679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinically Proven Healthcare 1905 E Beebe Capps Expy Searcy AR 72143-6973 Ph: (501) 278-7617 | Clinically Proven Healthcare 1905 E Beebe Capps Expy Searcy AR 72143-6973 Ph: (501) 278-7617 |
| NPI Number | 1396490223 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 9739576224 |
|---|---|
| Medicare Enrollment ID | O20220502002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396490223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shannon Lynne Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376083931 PECOS PAC ID: 1355756453 Enrollment ID: I20220502002185 |
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