Whalio Doctors

NPI 1982935177

Ascent

Organisation Point of Service Jonesboro, AR

Practice location

Address
806 Glendale St, Jonesboro, AR 72401-4455
Phone
(870) 933-9528
Mailing address
613 Tannehill Dr, Jonesboro, AR 72404-9033

Authorised official

Name
Megan F. Nutt
Title
Ecds
Phone
(870) 530-7461

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 305S00000X (AR)

Registry record

NPI
1982935177
Entity type
Organization
NPI issued
27 Jan 2010
Record last updated
27 Jan 2010

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.