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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyA001877ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1190397758MEDICAIDARKANSAS

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: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.