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 |
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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 |
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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 |
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Provider Enumeration Date | 02/21/2018 |
Last Update Date | 06/17/2020 |
Medicare PECOS PAC ID | 5092078543 |
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Medicare Enrollment ID | O20180413001660 |
Identifier | Type | State | Issuer |
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1326549783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | C5210 (Arkansas) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | A004438 (Arkansas) | Primary |
Provider Name | Jennifer Oxford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114300100 PECOS PAC ID: 7416264106 Enrollment ID: I20150912000063 |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |