Unknown Individual – Family Nurse Practitioner, NPI 1629470752
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1501 S WALDRON RD
STE 202
FORT SMITH, AR 729032598
Phone: (912) 548-0710
Fax: (912) 548-0071
Type: Mailing
615 PENDLETON ST
SUITE A
WAYCROSS, GA 315014724
Phone: (912) 548-0710
Fax: (912) 548-0071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72903)
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