1851718381 NPI number — ELHAM A ARMAH FNP-BC

Table of content: ELHAM A ARMAH FNP-BC (NPI 1851718381)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851718381 NPI number — ELHAM A ARMAH FNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARMAH
Provider First Name:
ELHAM
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARMAH
Provider Other First Name:
ELLY
Provider Other Middle Name:
ABENA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP-BC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1851718381
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/24/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1904 GRANT AVE STE G
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JONESBORO
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72401-6165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-493-3007
Provider Business Mailing Address Fax Number:
870-330-9076

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1904 GRANT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JONESBORO
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72401-6160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-493-3007
Provider Business Practice Location Address Fax Number:
870-330-9076
Provider Enumeration Date:
03/21/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  A003979 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 18294 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: A003979 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)