Kimberly Ann Tullos in Jonesboro - Clinical
Kimberly Ann Tullos - NPI 1780851048
Kimberly Ann Tullos is a Clinical in Jonesboro, Arkansas. Kimberly Ann Tullos practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly Ann Tullos is 1780851048. The last update date is 2018-05-09.
Kimberly Ann Tullos's current location address is 1815 Pleasant Grove Rd, Jonesboro, Arkansas. You can contact this provider via phone number 8709336886 and fax number 8709339395. The mailing address for Kimberly Ann Tullos is 1815 Pleasant Grove Rd, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Ann Tullos |
|---|---|
| Address | 1815 Pleasant Grove Rd, Jonesboro, Arkansas |
| Phone Number | 8709336886 |
| Fax Number | 8709339395 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1780851048 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2018-05-09 |
Provider Mailing Address Detail
| Address | 1815 Pleasant Grove Rd |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724017870 |
| Phone Number | 8709336886 |
| Fax Number | 8709339395 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5960-C |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5WW05 | AR | BCBS | |
| 172646795 | AR | -- |
Post Comment/ Review Below
What is the Kimberly Ann Tullos's 1780851048?
The Kimberly Ann Tullos's NPI (National Provider Identifier) Number is 1780851048. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kimberly Ann Tullos is physically located?
The Kimberly Ann Tullos is situated at the following address: 1815 Pleasant Grove Rd, Jonesboro, AR 724017870.
What is Kimberly Ann Tullos's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly Ann Tullos is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Kimberly Ann Tullos's 1780851048 issued?
The Kimberly Ann Tullos's 1780851048 was issued on 2008-05-14.
As of what date was the information regarding Kimberly Ann Tullos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly Ann Tullos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-05-09.