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JACKSONVILLE NEUROLOGY PA NPI 1144481599


NPI Information

NPI: 1144481599
Provider Name: JACKSONVILLE NEUROLOGY, PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4020 RICHARDS RD
SUITE C
NORTH LITTLE ROCK, AR
ZIP 72117
Phone: (501) 985-1323
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JACKSONVILLE NEUROLOGY, PA is a neurology psychiatry neurology in North Little Rock, AR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. JACKSONVILLE NEUROLOGY, PA NPI is 1144481599. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4020 RICHARDS RD
SUITE C
NORTH LITTLE ROCK, AR
ZIP 72117-650
Phone: (501) 985-1323
Fax: (501) 985-3229

The provider's authorized official is Charles Edward Schultz .
The authorized official title is Ceo/owner and has the following contact phone number (501) 985-1323.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P2900XPsychiatry & NeurologyPain MedicineE1201ARKANSASNo
22084S0012XPsychiatry & NeurologySleep MedicineE1201ARKANSASNo
32084N0400XPsychiatry & NeurologyNeurologyE1201ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1132333002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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