Erin Edgmon, APRN
Nurse Practitioner, Family in Jasper, AR. Individual provider (NPI-1).
NPI number1346856366
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1346856366
- Entity type
- Individual (NPI-1)
- Name
- Erin Edgmon
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2020
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 212623 | AR | Yes |
Practice location
Boston Mountain Rural Health Center INC.609 W Clark St
Jasper, AR 72641-0130
Phone 870-446-2225 · Fax 870-446-2227
Mailing address
Po Box 1060Marshall, AR 72650-1060
Phone 870-448-5733 · Fax 870-448-3767
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Jasper, AR
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