JADE LEIGH VINSON NPI 1225520356

NPI Information

NPI: 1225520356
Provider Name: JADE LEIGH VINSON
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: CAMP INTERVENTIONAL PAIN ASSOCIATES PLLC

PECOS Registration: Yes

Address:
2900 MEDICAL CENTER PKWY STE 110
BENTONVILLE, AR
ZIP 72712
Phone: (479) 715-4262
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Jade Leigh Vinson is a primary care nurse practitioner in Bentonville, AR with 6 years of experience. Jade Leigh Vinson NPI is 1225520356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2900 MEDICAL CENTER PKWY STE 110
BENTONVILLE, AR
ZIP 72712-212
Phone: (479) 715-4262
Fax: (866) 817-7601

The NPI 1225520356 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2018 and was last updated on 3/11/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	R095301	ARKANSAS	No
2	363LP2300X	Nurse Practitioner	Primary Care	A005815	ARKANSAS	Yes

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

NPI Synchronization or Removal

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