NPI 1346032208
Prestige Care, PLLC
Practice location
- Address
- 411 W Washington Ave STE B, Jonesboro, AR 72401-2781
- Phone
- (870) 275-4272
- Fax
- (870) 275-4277
- Mailing address
- PO Box 9178, Russellville, AR 72811-9178
Authorised official
- Name
- Benjamin Wagner Carlyle
- Title
- Authorized Official
- Phone
- (479) 498-6700
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1346032208
- Entity type
- Organization
- NPI issued
- 19 May 2025
- Record last updated
- 1 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.