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Contact Information

ARKANSAS PREMIER MEDICAL CLINIC
22461 I 30 STE 402
BRYANT, AR72022-2383
 Phone: 501-303-8289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for ARKANSAS PREMIER MEDICAL CLINIC · (Female)

NPI Number 1346848850
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2020
Last updated 10/16/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Other 1235655531 NPI
  • AR Other 1326282799 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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