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Organization
ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARKANSAS PA
Active
Organization
ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LUCAS (CHIEF ADMINISTRATIVE OFFICER)
(615) 314-8033
Entity
Organization
Contact information
Practice address
2801 S OLIVE ST STE 33, PINE BLUFF, AR 71603-5413
(888) 987-1151
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/15/2024
Last updated
07/21/2025
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