| Northwest Arkansas Senior Care Specialists, Pllc | |
|
2629 N Sierra Ave Fayetteville AR 72703-3370 | |
| (479) 445-3469 | |
| (877) 693-6271 |
| Full Name | Northwest Arkansas Senior Care Specialists, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2629 N Sierra Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | Jennifer Oxford (OWNER) |
| Authorized Official Contact | 4794453469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Arkansas Senior Care Specialists, Pllc 2629 N Sierra Ave Fayetteville AR 72703-3370 Ph: (479) 445-3469 | Northwest Arkansas Senior Care Specialists, Pllc 2629 N Sierra Ave Fayetteville AR 72703-3370 Ph: (479) 445-3469 |
| NPI Number | 1326549783 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 06/17/2020 |
| Medicare PECOS PAC ID | 5092078543 |
|---|---|
| Medicare Enrollment ID | O20180413001660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326549783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C5210 (Arkansas) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | A004438 (Arkansas) | Primary |
| Provider Name | Jennifer Oxford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114300100 PECOS PAC ID: 7416264106 Enrollment ID: I20150912000063 |
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