Jennifer N/a McShane
Individual provider Active NPI Driver · Maumelle, AR
NPI 1104662253 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1104662253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- PO Box 13166
Maumelle, AR 72113-0166 - Phone
- (501) 508-1404
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Reliable Transportation LLC | Driver | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
PO Box 13166
Maumelle, AR 72113-0166
Mailing address
PO Box 13166
Maumelle, AR 72113-0166
Phone (501) 508-1404
Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.