WENDY WYNETTE GAMMON FNP NPI 1669848156

NPI Information

NPI: 1669848156
Provider Name: WENDY WYNETTE GAMMON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: GAMMON HEALTHCARE SOLUTIONS PLLC

PECOS Registration: Yes

Address:
1305 ARKANSAS BLVD STE 104
TEXARKANA, AR
ZIP 71854
Phone: (870) 648-1305
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Wendy Wynette Gammon, FNP is a family nurse practitioner in Texarkana, AR with 9 years of experience. Wendy Wynette Gammon, FNP NPI is 1669848156. 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:

1305 ARKANSAS BLVD STE 104
TEXARKANA, AR
ZIP 71854-691
Phone: (870) 648-1305
Fax: (870) 648-1306

The NPI 1669848156 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 8/19/2015 and was last updated on 9/6/2021.

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	A005928	ARKANSAS	Yes
2	363LF0000X	Nurse Practitioner	Family	AP128853	TEXAS	No

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	225050758	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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