Pamela A Coyle, NP
Individual provider Active NPI Family Nurse Practitioner · Clinton, AR
NPI 1649262189 · NPPES record last updated Apr 14, 2016
Key facts
- NPI
- 1649262189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A01135 (AR)
- Practice address
- 145 Shake Rag Rd
Clinton, AR 72031-6682 - Phone
- (501) 745-7161
- Fax
- (501) 745-8714
- NPI assigned
- Aug 19, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Mountain Vista Emergency Physicians, LLC | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Dr B. E. Holmes PA | Past | Accepting new patients | |
| Maumelle Medical Clinic | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Southeastern Emergency Services of Memphis, P.C. | Past | Accepting new patients | |
| Sherwood Urgent Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A01135 | AR | Yes |
Addresses
Primary practice location
145 Shake Rag Rd
Clinton, AR 72031-6682
Mailing address
PO Box 1284
Marshall, AR 72650-1284
Phone (870) 448-2095
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133037758 | Medicaid | AR |
Other providers in Clinton, AR
- Conway County Community Service Inc
- Conway Regional Medical Center, Inc
- Kyle Cotton
- Counseling Associates, Inc.
- Keith A Coward
- Annice Jean Craig
- Jared Cross
- Nancy Croston
- Darren Crymes
- Shelly Daud
All providers in Clinton, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2016. 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.