| Tara Grace Moore, | |
|
2707 Browns Ln, Jonesboro, AR 72401-7213 | |
| (870) 972-4939 | |
| (870) 972-4911 |
| Full Name | Tara Grace Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2707 Browns Ln, Jonesboro, 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 |
|---|---|---|---|
| 1932339603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 125106 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest City Medical Center | Forrest city, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arisa Health Inc | 2264853829 | 50 |
| Supportive Psych Care Of Arkansas Pa | 8820474661 | 28 |
| Entity Name | Northeast Arkansas Community Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118207 PECOS PAC ID: 0244130839 Enrollment ID: O20040110000206 |
| Entity Name | Supportive Psych Care Of Arkansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887 |
| Entity Name | Arisa Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437750411 PECOS PAC ID: 2264853829 Enrollment ID: O20230508000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Grace Moore, 2707 Browns Ln, Jonesboro, AR 72401-7213 Ph: (870) 972-4939 | Tara Grace Moore, 2707 Browns Ln, Jonesboro, AR 72401-7213 Ph: (870) 972-4939 |
Mrs. Renata Jane Miller, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970 | |
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675 | |
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Morgan Mcalexander, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Red Wolf Blvd, Jonesboro, AR 72405 Phone: 870-972-8181 | |
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630 | |
Heather Stallings, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088 |