| Wound Solutions Of Central Arkansas Llc | |
|
1021 Neil Dr Jonesboro AR 72401-4462 | |
| (870) 898-0088 | |
| Not Available |
| Full Name | Wound Solutions Of Central Arkansas Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 Neil Dr, Jonesboro, Arkansas |
| Authorized Official Name and Position | Heather Stallings (OWNER) |
| Authorized Official Contact | 8702732799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Solutions Of Central Arkansas Llc 1021 Neil Dr Jonesboro AR 72401-4462 Ph: () - | Wound Solutions Of Central Arkansas Llc 1021 Neil Dr Jonesboro AR 72401-4462 Ph: (870) 898-0088 |
| NPI Number | 1447952346 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 7911365028 |
|---|---|
| Medicare Enrollment ID | O20230622000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447952346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lindsay E Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750531505 PECOS PAC ID: 4789748245 Enrollment ID: I20090127000738 |
| Provider Name | Heather S Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359769 PECOS PAC ID: 1658505581 Enrollment ID: I20131009000714 |
| Provider Name | Christina B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427162387 PECOS PAC ID: 3274766480 Enrollment ID: I20140423001505 |
| Provider Name | Amy D Ade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447508320 PECOS PAC ID: 4688896285 Enrollment ID: I20141115000024 |
| Provider Name | Janine K Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831580018 PECOS PAC ID: 9234455965 Enrollment ID: I20150224000725 |
| Provider Name | Kayla Beth Ingram-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144771296 PECOS PAC ID: 8022392521 Enrollment ID: I20170301000456 |
| Provider Name | Shea Thomas Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730677675 PECOS PAC ID: 5698030633 Enrollment ID: I20180523000187 |
| Provider Name | Nickey N Noid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235796145 PECOS PAC ID: 9537576350 Enrollment ID: I20210323002117 |
| Provider Name | Kimberly O Laflora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801407440 PECOS PAC ID: 9830507847 Enrollment ID: I20210412001797 |
| Provider Name | Margaret Meagan Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851962823 PECOS PAC ID: 4587068093 Enrollment ID: I20210805001641 |
| Provider Name | Stephanie N Parish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447951439 PECOS PAC ID: 0547625972 Enrollment ID: I20230508001311 |
| Provider Name | Darrel Colby Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336854975 PECOS PAC ID: 7416313879 Enrollment ID: I20230510001410 |
| Provider Name | Lisa Diane Loggains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275316804 PECOS PAC ID: 5991150443 Enrollment ID: I20231020003080 |
| Provider Name | Savanna C Hailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033997184 PECOS PAC ID: 8729434568 Enrollment ID: I20231030003350 |
| Provider Name | Susan Michelle Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588321376 PECOS PAC ID: 8022453703 Enrollment ID: I20240304003634 |
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