Organization · NPI-2
Palliative Connections Of Arkansas INC
Registered Nurse, Case Management · Texarkana, AR
NPI number1326394875
StatusActive
Last updated in NPPESMar 7, 2025
Details
- NPI
- 1326394875
- Entity type
- Organization (NPI-2)
- Legal business name
- Palliative Connections Of Arkansas INC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2012
- Certification date
- Mar 7, 2025
- Last updated
- Mar 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 163WG0000X | Registered Nurse, General Practice | – | – | |
| 163WH0200X | Registered Nurse, Home Health | – | – | |
| 164W00000X | Licensed Practical Nurse | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
201 North Stateline AveSuite 302
Texarkana, AR 71854-5933
Phone 918-710-3576 · Fax 918-516-0609
Mailing address
5314 S Yale Ave Ste 900Tulsa, OK 74135-6257
Phone 918-710-3576 · Fax 918-516-0609
Authorized official
Chris Lackner
Executive Director
4054124909
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