SAMANTHA DEVAZIER APRN PLLC NPI 1942915517

NPI Information

  • NPI: 1942915517
  • Provider Name: SAMANTHA DEVAZIER APRN PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: DELTA FAMILY CLINIC
  • CLIA Number: 04D2275410
  • Address: 1111 N WASHINGTON ST
    FORREST CITY, AR
    ZIP 72335
  • Phone: (870) 594-8012

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NPI Details

SAMANTHA DEVAZIER APRN PLLC is a family nurse practitioner in Forrest City, AR. SAMANTHA DEVAZIER APRN PLLC NPI is 1942915517. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Delta Family Clinic.

The provider's business location address is:

1111 N WASHINGTON ST
FORREST CITY, AR
ZIP 72335-150
Phone: (870) 594-8012
Fax: (870) 594-8013

The provider's authorized official is Samantha Devazier .
The authorized official title is Owner and has the following contact phone number (870) 594-8012.

The CLIA number assigned to this NPI record is 04D2275410 - other - fnp primary care clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2023 and was last updated on 5/1/2023.

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
1363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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