| Tiffany Dawn Lucas, APRN, AGPCNP-BC | |
|
600 S Timberlane Dr, El Dorado, AR 71730-6990 | |
| (870) 862-2400 | |
| (870) 864-8142 |
| Full Name | Tiffany Dawn Lucas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 600 S Timberlane Dr, El Dorado, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295185106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | A004783 (Arkansas) | Primary |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | South Arkansas Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285325969 PECOS PAC ID: 4486002151 Enrollment ID: O20231120001286 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083486781 PECOS PAC ID: 4082528955 Enrollment ID: O20240109004338 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Dawn Lucas, APRN, AGPCNP-BC 600 S Timberlane Dr, El Dorado, AR 71730-6990 Ph: (870) 862-2400 | Tiffany Dawn Lucas, APRN, AGPCNP-BC 600 S Timberlane Dr, El Dorado, AR 71730-6990 Ph: (870) 862-2400 |
Tara S Herring, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 W Grove St Ste 202, El Dorado, AR 71730 Phone: 870-639-9939 Fax: 870-639-9914 | |
Rebecca Jan Porter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 | |
Chelsea Jo Bounds, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W Faulkner St, El Dorado, AR 71730 Phone: 870-639-3910 | |
Jessica H Mack, DNP, APRN, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 W Grove St, El Dorado, AR 71730 Phone: 870-875-1481 | |
Lizbeth Laura Herrera, MNSC, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 W Hillsboro St, El Dorado, AR 71730 Phone: 870-639-9322 Fax: 501-235-3743 | |
Kelsey Nutt, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 Thompson Ave Ste A, El Dorado, AR 71730 Phone: 870-864-8010 | |
Anita Burleson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N College Ave, El Dorado, AR 71730 Phone: 870-881-8008 |