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JP WORNOCK MD PA NPI 1407307788


NPI Information

NPI: 1407307788
Provider Name: JP WORNOCK, MD, PA

Doing Business As: PRIMECARE MEDICAL CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 04D2079405

Address:
2504 MCCAIN BLVD
STE 118
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 812-6655
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JP WORNOCK, MD, PA is a clinic center in North Little Rock, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JP WORNOCK, MD, PA NPI is 1407307788. The provider is registered as an organization entity type.
The provider Is Doing Business As Primecare Medical Clinic.

The provider's business location address is:

2504 MCCAIN BLVD
STE 118
NORTH LITTLE ROCK, AR
ZIP 72116-607
Phone: (501) 812-6655
Fax: (501) 812-6677

The provider's authorized official is Emily Harrell .
The authorized official title is Human Capital Coordinator and has the following contact phone number (501) 764-1800.

The CLIA number assigned to this NPI record is 04D2079405 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterBL2016-00512ARKANSASYes

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

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