COMPASSION HEALTH & WELLNESS CLINIC PLLC NPI 1760937171

NPI Information

NPI: 1760937171
Provider Name: COMPASSION HEALTH & WELLNESS CLINIC, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 04D2118965

Address:
1400 LESLIE ST
NASHVILLE, AR
ZIP 71852
Phone: (870) 845-1933
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COMPASSION HEALTH & WELLNESS CLINIC, PLLC is a family nurse practitioner in Nashville, AR. COMPASSION HEALTH & WELLNESS CLINIC, PLLC NPI is 1760937171. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 LESLIE ST
NASHVILLE, AR
ZIP 71852-027
Phone: (870) 845-1933

The provider's authorized official is Michelle L Boone .
The authorized official title is Owner and has the following contact phone number (870) 845-1933.

The CLIA number assigned to this NPI record is 04D2118965 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2016 and was last updated on 10/24/2016.

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	A004771	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	215353762	MEDICAID	ARKANSAS
2	533962	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: 4/28/2024

NPI Synchronization or Removal

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