NPI 1861594632 · live from the CMS NPI Registry
Vickie Lou Jones, Nurse Practitioner
Nurse Practitioner, Pediatrics in Texarkana, AR. National Provider Identifier 1861594632, active.
NPI record
| NPI | 1861594632 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 503 Walnut St, Texarkana, AR 71854 |
| Practice phone | 870-773-2108 |
| Mailing address | 4203 Garland Ave, Texarkana, AR 71854 |
| Enumerated | September 2, 2006 |
| Last updated | February 20, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Pediatrics | 163WP0200X | 191446 (AR) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 191517 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.