Wound Care Clinic-Tn, Inc. in Paragould - Nurse Practitioner
Wound Care Clinic-Tn, Inc. - NPI 1629044110
Wound Care Clinic-Tn, Inc. is a Nurse Practitioner in Paragould, Arkansas. Wound Care Clinic-Tn, Inc. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Wound Care Clinic-Tn, Inc. is 1629044110. The last update date is 2020-08-22.
Wound Care Clinic-Tn, Inc.'s current location address is 1910 Mockingbird Ln, Paragould, Arkansas. You can contact this provider via phone number 8702362600 and fax number 8702363314. The mailing address for Wound Care Clinic-Tn, Inc. is 1910 Mockingbird Ln, Paragould, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wound Care Clinic-Tn, Inc. |
|---|---|
| Address | 1910 Mockingbird Ln, Paragould, Arkansas |
| Phone Number | 8702362600 |
| Fax Number | 8702363314 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Davis G Susan |
| Telephone Number | 8702362600 |
NPI Number Detail
| NPI Number | 1629044110 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1910 Mockingbird Ln |
|---|---|
| City | Paragould |
| State | Arkansas (AR) |
| Post Code | 724505806 |
| Phone Number | 8702362600 |
| Fax Number | 8702363314 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique provider identifier assigned to Wound Care Clinic-Tn, Inc.?
The Wound Care Clinic-Tn, Inc. has been issued the NPI (National Provider Identifier) 1629044110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Wound Care Clinic-Tn, Inc.'s physical address?
The Wound Care Clinic-Tn, Inc. is physically located at 1910 Mockingbird Ln, in the city of Paragould, AR, with the postal code 724505806.
What is the Wound Care Clinic-Tn, Inc.'s specialty and taxonomy code?
The Wound Care Clinic-Tn, Inc.'s specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Wound Care Clinic-Tn, Inc. receive its 1629044110 assignment from the Centers for Medicare & Medicaid Services?
The Wound Care Clinic-Tn, Inc. was assigned its 1629044110 by the Centers for Medicare & Medicaid Services on 2006-02-24.
When was the information regarding Wound Care Clinic-Tn, Inc. most recently updated?
The details pertaining to the Wound Care Clinic-Tn, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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