| Pauline Okwuosa, NURSE PRACTITIONER | |
| 
					Po Box 193, Alexander, AR 72002-0193  | |
| (501) 231-3595 | |
| Not Available | 
| Full Name | Pauline Okwuosa | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | Po Box 193, Alexander, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962903054 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005540 (Arkansas) | Primary | 
| Entity Name | Icp Arkansas Aco Billing Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681  | 
| Entity Name | Dispatchhealth-arizona | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316660350 PECOS PAC ID: 7810268422 Enrollment ID: O20230123000505  | 
| Entity Name | Shc Medical Partners Of Arkansas Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821830795 PECOS PAC ID: 2668919812 Enrollment ID: O20240807003547  | 
| Entity Name | Abode Care Partners Ltc Vb, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669285367 PECOS PAC ID: 8325316516 Enrollment ID: O20250311001982  | 
| Entity Name | Abode Care Partners Al Vb Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861205460 PECOS PAC ID: 1658403704 Enrollment ID: O20250313002927  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pauline Okwuosa, NURSE PRACTITIONER Po Box 193, Alexander, AR 72002-0193 Ph: () -  | Pauline Okwuosa, NURSE PRACTITIONER Po Box 193, Alexander, AR 72002-0193 Ph: (501) 231-3595  | 
Mary Ombatsa Banks, PMHMP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13008 Avilla Hills Cv, Alexander, AR 72002 Phone: 501-353-7110  | |
Chastity Tanner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8140 N Haven Dr, Alexander, AR 72002 Phone: 870-329-6468  | |
Romonda Tousant, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13823 Harold Dr, Alexander, AR 72002 Phone: 501-838-6482  | |
Jennifer Lynne Carter, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6905 Grace Village Dr, Alexander, AR 72002 Phone: 501-628-8623  | |
T'shara E Harper, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Centerstone, Alexander, AR 72002 Phone: 870-413-1506  | |
Misty Leigh Hartwick,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2804 Leslie Ln, Alexander, AR 72002 Phone: 501-772-0439  | |
Keeanndase Pace, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15604 Alexander Rd Unit 35, Alexander, AR 72002 Phone: 501-351-8753  |