Organization · NPI-2
Jmac Medical PLLC
Clinic/Center · Mena, AR
NPI number1043965734
StatusActive
Last updated in NPPESFeb 21, 2022
Details
- NPI
- 1043965734
- Entity type
- Organization (NPI-2)
- Legal business name
- Jmac Medical PLLC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2022
- Certification date
- Feb 21, 2022
- Last updated
- Feb 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
403 Morrow St N Ste FMena, AR 71953-4324
Phone 479-437-6080
Mailing address
403 Morrow St N Ste FMena, AR 71953-4324
Authorized official
James Robert Mcwilliams
Owner
4794376080
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