NPI 1053944496 · live from the CMS NPI Registry
Pamela Sue Bagwell
Social Worker in Jacksonville, AR. National Provider Identifier 1053944496, active.
NPI record
| NPI | 1053944496 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 2126 N 1st St Ste F, Jacksonville, AR 72076 |
| Practice phone | 501-982-5000 |
| Mailing address | 1815 Pleasant Grove Rd, Jonesboro, AR 72405 |
| Enumerated | February 13, 2020 |
| Last updated | February 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.