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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