Organization
PALLIATIVE CONNECTIONS OF ARKANSAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS LACKNER (EXECUTIVE DIRECTOR)
(405) 412-4909
Entity
Organization
Contact information
Practice address
201 NORTH STATELINE AVE, SUITE 302, TEXARKANA, AR 71854-5933
(918) 710-3576
(918) 516-0609
Mailing address
5314 S YALE AVE STE 900, TULSA, OK 74135-6257
(918) 710-3576
(918) 516-0609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
Primary
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/01/2012
Last updated
03/07/2025
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