OZARK WELLNESS CLINIC PLLC NPI 1720482482

NPI Information

NPI: 1720482482
Provider Name: OZARK WELLNESS CLINIC PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 04D2093343

Address:
102 W COLLEGE ST
OZARK, AR
ZIP 72949
Phone: (479) 667-2222
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OZARK WELLNESS CLINIC PLLC is a family nurse practitioner in Ozark, AR. OZARK WELLNESS CLINIC PLLC NPI is 1720482482. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

102 W COLLEGE ST
OZARK, AR
ZIP 72949-850
Phone: (479) 667-2222
Fax: (479) 667-2252

The provider's authorized official is Yvonia Jean Finley .
The authorized official title is President and has the following contact phone number (479) 667-2222.

The CLIA number assigned to this NPI record is 04D2093343 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2014 and was last updated on 1/19/2015.

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	364SF0001X	Clinical Nurse Specialist	Family Health	5001039	ARKANSAS	No
2	363LF0000X	Nurse Practitioner	Family	5001039	ARKANSAS	Yes

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

NPI Synchronization or Removal

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