Skin Dermatology Practitioner, Pllc

LBN: Skin Dermatology Practitioner, Pllc
Skin Dermatology Practitioner, Pllc is an health care organization with primary practice located at 3106 Southwest Dr Ste 103 , Jonesboro AR 72404-8404. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Skin Dermatology Practitioner, Pllc can be contacted via phone (870) 641-7546, or through Pemberton, Nancy via phone (708) 530-2453.

Contact Information

Primary practice address
3106 Southwest Dr Ste 103 Jonesboro AR 72404-8404
Phone: (870) 641-7546
Fax: (870) 641-7547
Website:
Map and Directions
Authorized official contact:
Name: Pemberton, Nancy Nurse Practitioner (NP)
Phone: (708) 530-2453

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1003505389
LBN Legal business name Skin Dermatology Practitioner, Pllc
DBA Doing business as
Authorized official Pemberton, Nancy Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2023
Last updated Jun 21st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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