MRS. STACY CARMEN RESCHKE FNP-C NPI 1467896886

NPI Information

NPI: 1467896886
Provider Name: MRS. STACY CARMEN RESCHKE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
924 STATE HIGHWAY 77
MARION, AR
ZIP 72364
Phone: (870) 739-8670
Get Directions

MRS. Stacy Carmen Reschke, FNP-C is a family nurse practitioner in Marion, AR with 12 years of experience. MRS. Stacy Carmen Reschke, FNP-C NPI is 1467896886. 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:

924 STATE HIGHWAY 77
MARION, AR
ZIP 72364-004
Phone: (870) 739-8670
Fax: (870) 739-8706

The NPI 1467896886 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 4/29/2013 and was last updated on 4/14/2020.

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	363LF0000X	Nurse Practitioner	Family	A004774	ARKANSAS	Yes
2	363LF0000X	Nurse Practitioner	Family	17578	TENNESSEE	No

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	214841758	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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