Wound Solutions of Nwa, LLC
Organization Active NPI Clinic/Center · Rogers, AR
NPI 1043904261 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1043904261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- WOUND SOLUTIONS OF NWA, LLC
- Practice address
- 5 Halsted Cir Ste 2B
Rogers, AR 72756-3185 - Phone
- (870) 898-0088
- NPI assigned
- Jun 8, 2023
- Organization subpart
- No
Authorized official
- Name
- Heather Stallings
- Title
- Owner
- Phone
- (870) 273-2799
Practitioners 40
-
Bridget Diane Reyes, APRN
-
Stephanie Burks, FNP-CNP
-
Michelle L Adams, APRN,FNP-BC
-
Inja Cristal Brown, APRN
-
Cindy Nicole Burnett, APRN
-
Samantha Decker, APRN-CNP
-
Haley Duff, APRN
-
Victoria Jayne Langford, AG-ACNP
-
Abbey Breanna Shields, APRN
-
Heather Stallings, APRN
-
Chasity Renae Sullivan, APRN
-
Rebecca Ellen Stewart, APRN, FNP-C
-
Christina Adams, RNP
-
Savanna Adams, APRN
-
Tracy Bonee, APRN
-
Taylor Campbell Butler, FNP-C
-
Amy Danae Gipson, FNP
-
Holly N Griffis, APN
-
Susan Michelle Hawkins, FNP-C
-
Darrel Colby Hawley, MSN, APRN, FNP-C
-
Freddie Hicks, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230912001308 | AR | Part B Supplier - Clinic/Group Practice | 7517321466 |
Receives reassigned benefits from 15 practitioners Practice locations: Jonesboro, AR |
National Provider Directory
Locations
5 Halsted Cir
Ste 2B
Rogers, AR 72756
Phone (870) 898-0088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
5 Halsted Cir Ste 2B
Rogers, AR 72756-3185
Mailing address
1021 Neil Dr
Jonesboro, AR 72401-4462
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.