SANDRA LYNN WOOD RN NURSE PRACTITIONE NPI 1467580647

NPI Information

NPI: 1467580647
Provider Name: SANDRA LYNN WOOD, RN NURSE PRACTITIONE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
110 SKYLINE DRIVE
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 967-5570
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Sandra Lynn Wood, RN NURSE PRACTITIONE is a psychiatric/mental health nurse practitioner in Russellville, AR. Sandra Lynn Wood, RN NURSE PRACTITIONE NPI is 1467580647. 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:

110 SKYLINE DRIVE
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 967-5570
Fax: (479) 890-5364

The NPI 1467580647 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 3/1/2007 and was last updated on 7/8/2007.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R22102	ARKANSAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	P00397	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: 4/28/2024

NPI Synchronization or Removal

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