Provider Type Icon

BLAKELY EDMUND APRN NPI 1083148522


NPI Information

NPI: 1083148522
Provider Name: BLAKELY EDMUND, APRN
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Individual

Specialization: Family Health

Organization: UNIVERSITY OF ARKANSAS

PECOS Registration: Yes

Address:
4301 W MARKHAM ST
BREAST CANCER CLINIC
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 813-4885
Get Directions

Blakely Edmund, APRN is a family health clinical nurse specialist in Little Rock, AR with 8 years of experience. Blakely Edmund, APRN NPI is 1083148522. 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:

4301 W MARKHAM ST
BREAST CANCER CLINIC
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 813-4885

The NPI 1083148522 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 4/11/2017 and was last updated on 4/11/2017.


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
1364SF0001XClinical Nurse SpecialistFamily HealthA005123ARKANSASYes

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

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.