Organization Active NPI

Marina K Henry Aprn PA

  • Adult Health Nurse Practitioner
  • Camden, AR
National Provider Identifier
1184028771
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A004148 Issued in AR
Legal business name
MARINA K HENRY APRN PA
Doing business as
Advanced Practice Clinic
Practice address
415 Hospital Dr
Camden, AR 71701-4615
Phone
(870) 836-5013
Fax
(870) 836-7961
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marina K Henry, APRN
Title
President
Phone
(870) 814-5349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X A004148 AR Primary

Addresses

Primary practice location

415 Hospital Dr
Camden, AR 71701-4615

Mailing address

415 Hospital Dr
Camden, AR 71701-4615
Phone (870) 836-5013

Other names 1

  • Advanced Practice Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1184028771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014615",
            "telephone_number": "870-836-5013",
            "fax_number": "870-836-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014615",
            "telephone_number": "870-836-5013",
            "fax_number": "870-836-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA K HENRY APRN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-814-5349",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A004148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.