Alicia Janelle Clem, LPN
Individual provider Active NPI Licensed Practical Nurse · Cabot, AR
NPI 1407588403 · NPPES record last updated Jun 28, 2022
Key facts
- NPI
- 1407588403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L050380 (AR)
- Practice address
- 502 Richie Rd
Cabot, AR 72023-3309 - Phone
- (501) 941-0940
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| L050380 | AR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L050380 | AR | Yes |
Addresses
Primary practice location
502 Richie Rd
Cabot, AR 72023-3309
Mailing address
904 N Lemon St
Beebe, AR 72012-2730
Phone (501) 286-3245
Other providers in Cabot, AR
- City Transport LLC
- Constance Clark
- Megan Clark
- Clayton L Owen DDS Ms PLLC
- Clayton L Owen DDS, PA
- Keeona Cobb
- Hannah Kathryn Cogburn
- Sherieka Coleman
- Jack Jay Collins
- Mittie Charolett Collins
All providers in Cabot, AR · Licensed Practical Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2022. 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.