| Wound Solutions Of Nea, Llc | |
|
1021 Neil Dr Jonesboro AR 72401-4462 | |
| (870) 898-0088 | |
| Not Available |
| Full Name | Wound Solutions Of Nea, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 Neil Dr, Jonesboro, Arkansas |
| Authorized Official Name and Position | Heather Stallings (OWNER) |
| Authorized Official Contact | 8702732799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Solutions Of Nea, Llc 1021 Neil Dr Jonesboro AR 72401-4462 Ph: () - | Wound Solutions Of Nea, Llc 1021 Neil Dr Jonesboro AR 72401-4462 Ph: (870) 898-0088 |
| NPI Number | 1386337665 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 9335597681 |
|---|---|
| Medicare Enrollment ID | O20231127001730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386337665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Samuel Ray Hiser |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760459648 PECOS PAC ID: 1759301781 Enrollment ID: I20051205000864 |
| Provider Name | Heather S Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359769 PECOS PAC ID: 1658505581 Enrollment ID: I20131009000714 |
| Provider Name | Amy D Ade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447508320 PECOS PAC ID: 4688896285 Enrollment ID: I20141115000024 |
| Provider Name | Lisa Diane Loggains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275316804 PECOS PAC ID: 5991150443 Enrollment ID: I20231020003080 |
| Provider Name | Savanna C Hailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033997184 PECOS PAC ID: 8729434568 Enrollment ID: I20231030003350 |
| Provider Name | Jamie Marie Nosler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508564386 PECOS PAC ID: 7810346335 Enrollment ID: I20231209000278 |
| Provider Name | Amber M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508645474 PECOS PAC ID: 4183073547 Enrollment ID: I20240116001651 |
| Provider Name | Allison Brooke Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063108280 PECOS PAC ID: 5799124582 Enrollment ID: I20240412001130 |
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