TESA L IVEY APN NPI 1396060356

NPI Information

NPI: 1396060356
Provider Name: TESA L IVEY, APN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Organization: UNIVERSITY OF ARKANSAS

PECOS Registration: Yes

Address:
4301 W MARKHAM ST
SLOT 519
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 526-7425
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Tesa L Ivey, APN is an obstetrics and gynecology nurse practitioner in Little Rock, AR with 15 years of experience. Tesa L Ivey, APN NPI is 1396060356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2009

The provider's business location address is:

4301 W MARKHAM ST
SLOT 519
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 526-7425

The NPI 1396060356 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 4/2/2010 and was last updated on 8/9/2010.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	A03357 ANP	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5V518	MEDICARE PIN	ARKANSAS

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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