| Sydni Gibbs, | |
| 
					25 Professional Park Dr, Clarksville, AR 72830-4432  | |
| (479) 705-8181 | |
| Not Available | 
| Full Name | Sydni Gibbs | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 25 Professional Park Dr, Clarksville, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518505833 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | R107201 (Arkansas) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 228040 (Arkansas) | Primary | 
| Entity Name | Westside Family Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801587779 PECOS PAC ID: 3476915372 Enrollment ID: O20230809001884  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sydni Gibbs, 25 Professional Park Dr, Clarksville, AR 72830-4432 Ph: (479) 705-8181  | Sydni Gibbs, 25 Professional Park Dr, Clarksville, AR 72830-4432 Ph: (479) 705-8181  | 
Ashley N Gattis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 W Main St, Clarksville, AR 72830 Phone: 479-668-3282 Fax: 479-668-3284  | |
Garrett Kyle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 S Rogers St, Clarksville, AR 72830 Phone: 479-491-4141 Fax: 479-491-4143  | |
Susan Gateley, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W Mckennon St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141  | |
Catherine Stephanie Miranda, CNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 N Mcconnell St, Clarksville, AR 72830 Phone: 479-440-8197 Fax: 479-440-8198  | |
Marcella Anne Handley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2428 Wire Rd, Clarksville, AR 72830 Phone: 479-754-4808  | |
Maranda Hickey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 E Poplar St Ste A, Clarksville, AR 72830 Phone: 479-754-5337  | |
Jess E Jordan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W Mckennon St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141  |