# ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARKANSAS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154153518
- **Authorized official:** LISA LUCAS (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (615) 314-8033

## Contact information

- **Practice address:** 2801 S OLIVE ST STE 33, PINE BLUFF, AR 71603-5413
- **Practice address phone:** (888) 987-1151
- **Mailing address:** 102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
- **Mailing address phone:** (888) 987-1151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 07/21/2025