| Erin Edgmon, APRN | |
|
Boston Mountain Rural Health Center Inc., 609 W Clark St, Jasper, AR 72641-0130 | |
| (870) 446-2225 | |
| (870) 446-2227 |
| Full Name | Erin Edgmon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Boston Mountain Rural Health Center Inc., Jasper, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346856366 | NPI | - | NPPES |
| 254276758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 212623 (Arkansas) | Primary |
| Entity Name | Washington Regional Medical System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326376419 PECOS PAC ID: 8820995434 Enrollment ID: O20100130000001 |
| Entity Name | Washington Regional Medical System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866038 PECOS PAC ID: 8820995434 Enrollment ID: O20120402000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Edgmon, APRN Po Box 1060, Marshall, AR 72650-1060 Ph: (870) 448-5733 | Erin Edgmon, APRN Boston Mountain Rural Health Center Inc., 609 W Clark St, Jasper, AR 72641-0130 Ph: (870) 446-2225 |
Mr. Johnny Lee Smith, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 West Court, Jasper, AR 72641 Phone: 870-446-2203 Fax: 870-446-2206 | |
Jennifer Shepherd, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 West Court Street., Jasper, AR 72641 Phone: 870-446-2203 Fax: 870-446-2206 | |
Chrissie L Bell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 West Clark Street, Jasper, AR 72641 Phone: 870-446-2225 Fax: 877-550-1583 | |
Mrs. Linda Casey Sides, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 W Court Street, Jasper, AR 72641 Phone: 870-446-2203 |