Briana McClinton
Individual provider Active NPI Nurse's Aide · Springdale, AR
NPI 1265254189 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1265254189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- AR017798801272 (AR)
- Practice address
- 514 Butterfield Coach Rd Apt M101
Springdale, AR 72764-0339 - Phone
- (901) 515-7479
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR017798801272 | AR | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | AR017798801272 | AR | Yes |
Addresses
Primary practice location
514 Butterfield Coach Rd Apt M101
Springdale, AR 72764-0339
Mailing address
514 Butterfield Coach Rd Apt M101
Springdale, AR 72764-0339
Phone (901) 515-7479
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 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.