Organization
PROVISION HEALTH CARE LLC
Active
Parent organization
PROVISION HEALTH CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVISION HEALTH CARE LLC
Authorized official
JACEY MELOY (PRACTICE MANAGER)
(318) 322-9252
Entity
Organization
Contact information
Practice address
525 W FAULKNER ST, EL DORADO, AR 71730-4518
(870) 337-2009
Mailing address
PO BOX 510, WEST MONROE, LA 71294-0510
(318) 322-9252
(318) 322-2885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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