Jody Rae Edmondson, is a 
Registered Nurse based in Hindsville, Arkansas. Jody Rae Edmondson is licensed to practice in Arkansas (license number R103152) and her current practice location is 
23171 Highway 303, Hindsville, Arkansas. She can be reached at her office (for appointments etc.) via phone at 
(479) 790-6824.
NPI number for Jody Rae Edmondson is 1841871563 and her current mailing address is 1100 N College Ave, Fayetteville, Arkansas. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841871563.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Jody Rae Edmondson | 
|---|
| Gender | Female | 
|---|
| Speciality | Registered Nurse | 
|---|
| Location | 23171 Highway 303, Hindsville, Arkansas | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1841871563
 - Provider Enumeration Date: 04/15/2021
 - Last Update Date: 04/15/2021
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Jody Rae Edmondson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1841871563 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 163W00000X | Registered Nurse  | R103152 (Arkansas) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jody Rae Edmondson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Jody Rae Edmondson, 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 443-4301 | Jody Rae Edmondson, 23171 Highway 303, Hindsville, AR 72738-9226 Ph: (479) 790-6824 | 
		
		 
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