| Taylor Health And Wellness Of Arkansas, Pa | |
|
4430 Highway 5 N Ste 6 Bryant AR 72022-7047 | |
| (501) 847-2835 | |
| (501) 847-3802 |
| Full Name | Taylor Health And Wellness Of Arkansas, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 4430 Highway 5 N Ste 6, Bryant, Arkansas |
| Authorized Official Name and Position | Monica Turner (ADMIN) |
| Authorized Official Contact | 5018472835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Health And Wellness Of Arkansas, Pa 4430 Highway 5 N Ste 6 Bryant AR 72022-7047 Ph: (501) 847-2835 | Taylor Health And Wellness Of Arkansas, Pa 4430 Highway 5 N Ste 6 Bryant AR 72022-7047 Ph: (501) 847-2835 |
| NPI Number | 1750123337 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 09/14/2024 |
| Medicare PECOS PAC ID | 7012456874 |
|---|---|
| Medicare Enrollment ID | O20240826001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750123337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Derek M Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568502938 PECOS PAC ID: 5799735437 Enrollment ID: I20050208000455 |
| Provider Name | Floye Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023211521 PECOS PAC ID: 1850486457 Enrollment ID: I20070927001046 |
| Provider Name | Miranda Shea Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619749330 PECOS PAC ID: 9931558764 Enrollment ID: I20231205003498 |
| Provider Name | Jennifer Leigh Dabbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396573119 PECOS PAC ID: 1658803762 Enrollment ID: I20241104000014 |
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