| Jennifer Diane Liles, APRN | |
|
600 Memorial Dr, Bella Vista, AR 72714-1847 | |
| (479) 855-6165 | |
| Not Available |
| Full Name | Jennifer Diane Liles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 600 Memorial Dr, Bella Vista, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174069611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004988 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Mercy Hospital Berryville | Berryville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Northwest Arkansas Communities | 0648177873 | 296 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Diane Liles, APRN 600 Memorial Dr, Bella Vista, AR 72714-1847 Ph: (479) 855-6165 | Jennifer Diane Liles, APRN 600 Memorial Dr, Bella Vista, AR 72714-1847 Ph: (479) 855-6165 |
Mr. Albert Paul Price Jr., A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5556 Fax: 479-876-2829 | |
Jason R Young, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5555 Fax: 479-876-2829 | |
Kimberle S Patterson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5555 Fax: 479-876-2829 | |
Jennifer Rose Mira, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5555 Fax: 479-876-2829 | |
Mrs. Betty Jo Sammer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Memorial Dr, Bella Vista, AR 72714 Phone: 479-855-6164 Fax: 479-855-2831 | |
Angela Mae Dozier, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Saxilby Ln, Bella Vista, AR 72715 Phone: 702-908-7027 |