| Diabetes Wellness Np, Pllc | |
|
700 N Missouri St Ste 2 West Memphis AR 72301-3150 | |
| (870) 551-4409 | |
| Not Available |
| Full Name | Diabetes Wellness Np, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 N Missouri St Ste 2, West Memphis, Arkansas |
| Authorized Official Name and Position | Nykkia Sellers (PRESIDENT/OWNER) |
| Authorized Official Contact | 9012490755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Wellness Np, Pllc 700 N Missouri St Ste 2 West Memphis AR 72301-3150 Ph: (901) 249-0755 | Diabetes Wellness Np, Pllc 700 N Missouri St Ste 2 West Memphis AR 72301-3150 Ph: (870) 551-4409 |
| NPI Number | 1083296057 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 11/30/2022 |
| Medicare PECOS PAC ID | 3971980251 |
|---|---|
| Medicare Enrollment ID | O20220509000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083296057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Nykkia Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134316250 PECOS PAC ID: 6204019649 Enrollment ID: I20220509000504 |
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