| Melissa Maybury, NP | |
|
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
| (479) 787-5291 | |
| (479) 344-6720 |
| Full Name | Melissa Maybury |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1101 Jackson St Sw, Gravette, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710344981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | A004614 (Arkansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | A004614 (Arkansas) | Primary |
| Entity Name | Texarkana Behavioral Associates Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467483677 PECOS PAC ID: 9436062379 Enrollment ID: O20040223000353 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
| Entity Name | Uhs Of Springwoods Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790925972 PECOS PAC ID: 2769530104 Enrollment ID: O20100219000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Maybury, NP 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 | Melissa Maybury, NP 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 |
Amelia Dee Jackson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-9692 | |
Gregory Scott Forrester, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-344-6870 Fax: 479-344-6865 | |
Tamra T Lamer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-1060 | |
Ms. Melody A Walls, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Sonrisa Holmes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404 | |
Ashlea Nicole Ritter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404 | |
Mrs. Tracy Leigh Lowry, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 |