Provider Type Icon

AJ'S HEALTH & WELLNESS ENTERPRISES PLLC NPI 1639774722


NPI Information

NPI: 1639774722
Provider Name: AJ'S HEALTH & WELLNESS ENTERPRISES PLLC
Classification: Registered Nurse - 163WD0400X
Entity Type: Organization

Specialization: Diabetes Educator

Address:
1400 W 43RD AVE
PINE BLUFF, AR
ZIP 71603
Phone: (870) 413-9968
Get Directions

AJ'S HEALTH & WELLNESS ENTERPRISES PLLC is a diabetes educator registered nurse in Pine Bluff, AR. AJ'S HEALTH & WELLNESS ENTERPRISES PLLC NPI is 1639774722. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 W 43RD AVE
PINE BLUFF, AR
ZIP 71603-010
Phone: (870) 413-9968
Fax: (870) 535-0594

The provider's authorized official is Ashley Danielle James .
The authorized official title is Ceo/president and has the following contact phone number (870) 413-9968.

The enumeration date for this NPI number is 12/4/2020 and was last updated on 12/4/2020.


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
1163WD0400XRegistered NurseDiabetes EducatorYes
2207Q00000XFamily MedicineNo
3363LF0000XNurse PractitionerFamilyNo
4364SA2100XClinical Nurse SpecialistAcute CareNo
5364SC0200XClinical Nurse SpecialistCritical Care MedicineNo

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
1C6070OTHERARKANSASARKANSAS STATE MEDICAL BOARD
2A003764OTHERARKANSASARKANSAS STATE BOARD OF NURSING

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

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.