| Venita Lynne Ninemire, | |
|
673 North Main St, Salem, AR 72576 | |
| (870) 895-2152 | |
| Not Available |
| Full Name | Venita Lynne Ninemire |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 673 North Main St, Salem, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518475466 | NPI | - | NPPES |
| A005438 | Other | AR | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005438 (Arkansas) | Secondary |
| 363L00000X | Nurse Practitioner | A005438 (Arkansas) | Primary |
| Entity Name | Fulton County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841377983 PECOS PAC ID: 8921099961 Enrollment ID: O20070119000107 |
| Entity Name | Fulton County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922261890 PECOS PAC ID: 8921099961 Enrollment ID: O20080910000495 |
| Entity Name | Brightside Medical Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230821000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Venita Lynne Ninemire, Po Box 517, Salem, AR 72576-0517 Ph: (870) 895-6096 | Venita Lynne Ninemire, 673 North Main St, Salem, AR 72576 Ph: (870) 895-2152 |
Mrs. Shira Lanae Turner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 679 N Main St, Salem, AR 72576 Phone: 870-895-2691 | |
Rochelle Kelly, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Highway 62 W, Salem, AR 72576 Phone: 870-895-2015 | |
Ellen Weseli Ward, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Highway 62 W, Salem, AR 72576 Phone: 870-895-2015 Fax: 870-895-2164 | |
Ashley Brooke Merritt, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Highway 62 W, Salem, AR 72576 Phone: 870-895-2015 | |
Naomi Harrod, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Highway 62 W, Salem, AR 72576 Phone: 870-895-2015 Fax: 870-895-2164 | |
Amy Hodges, APRN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 172 Highway 62 W, Salem, AR 72576 Phone: 870-895-2735 Fax: 870-895-2709 | |
Ms. Kelli Jo Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Highway 62 W, Salem, AR 72576 Phone: 501-438-8075 Fax: 870-856-2107 |