CLEAR SKIN MEDICAL SOLUTIONS LLC NPI 1003215955

NPI Information

NPI: 1003215955
Provider Name: CLEAR SKIN MEDICAL SOLUTIONS, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
715 W SHERMAN AVE
SUITE H
HARRISON, AR
ZIP 72601
Phone: (870) 204-5346
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CLEAR SKIN MEDICAL SOLUTIONS, LLC is a family nurse practitioner in Harrison, AR. CLEAR SKIN MEDICAL SOLUTIONS, LLC NPI is 1003215955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

715 W SHERMAN AVE
SUITE H
HARRISON, AR
ZIP 72601-743
Phone: (870) 204-5346
Fax: (870) 365-0481

The provider's authorized official is Pamela Robin Griffin .
The authorized official title is Mgr/member and has the following contact phone number (870) 204-5346.

The enumeration date for this NPI number is 8/16/2014 and was last updated on 8/16/2014.

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	A001877	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	190397758	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: 11/14/2023

NPI Synchronization or Removal

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