| Beyond Wellness Llc | |
|
25255 Highway 5 Ste J Lonsdale AR 72087-9102 | |
| (501) 476-7171 | |
| (501) 922-4164 |
| Full Name | Beyond Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 25255 Highway 5 Ste J, Lonsdale, Arkansas |
| Authorized Official Name and Position | Ashley Huneycutt (OWNER) |
| Authorized Official Contact | 5016581051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Wellness Llc 25255 Highway 5 Ste J Lonsdale AR 72087-9102 Ph: (501) 476-7171 | Beyond Wellness Llc 25255 Highway 5 Ste J Lonsdale AR 72087-9102 Ph: (501) 476-7171 |
| NPI Number | 1962101402 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 03/02/2023 |
| Medicare PECOS PAC ID | 7517329584 |
|---|---|
| Medicare Enrollment ID | O20230808004290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962101402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christa Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356719264 PECOS PAC ID: 3274836929 Enrollment ID: I20160129001298 |
| Provider Name | Jordan Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255006722 PECOS PAC ID: 4183001977 Enrollment ID: I20220517001492 |
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