CLEAR SKIN MEDICAL SOLUTIONS, LLC (NPI# 1003215955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003215955 |
| Entity Type | Organization |
| Organization Name | CLEAR SKIN MEDICAL SOLUTIONS, LLC |
| Practice Address |
715 W Sherman Ave Suite H Harrison AR 72601-2743 |
| Mailing Address |
Po Box 1102 Harrison AR 72602-1102 |
| Practice Telephone | 8702045346 |
| Practice Fax Number | 8703650481 |
| Mailing Telephone | 8702045346 |
| Mailing Fax Number | 8703650481 |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-08-16 |
| Authorized Official Name | PAMELA ROBIN GRIFFIN (MGR/MEMBER) |
| Authorized Official Telephone | 8702045346 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A001877 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 190397758 | 05 |
| Street Address |
715 W SHERMAN AVE SUITE H |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760473979 | Laura D Morrison | Counselor | 715 W Sherman Ave, Ste F, Harrison, AR 72601-2743 | 2005-11-04 |
| 1881291896 | Hannah Jane Wilburn | Nurse Practitioner | 715 W Sherman Ave, Harrison, AR 72601-2743 | 2020-10-02 |
| 1700106549 | Shirolyn Moffett M.d.,p.a. | Family Medicine | 715 W Sherman Ave, Suite D, Harrison, AR 72601-2743 | 2010-06-03 |
| 1982931192 | North Arkansas Surgery Clinic | Specialist | 715 W Sherman Ave, Suite B, Harrison, AR 72601-2743 | 2009-11-09 |
| 1316158025 | Harrison Family Practice Clinic | Nurse Practitioner | 715 W Sherman Ave, Suite G, Harrison, AR 72601-2743 | 2007-05-24 |
| 1053491811 | Scott Frazier Ferguson | Urology | 715 W Sherman Ave, Suite A, Harrison, AR 72601 | 2006-10-16 |
| 1356432702 | Max Ann Ferguson | Urology | 715 W Sherman Ave, Suite A, Harrison, AR 72601 | 2006-09-28 |
| 1831297167 | North Arkansas Urology Pa | Urology | 715 W Sherman Ave, Suite A, Harrison, AR 72601 | 2006-09-20 |
| 1598879264 | David R. Kernodle, D.d.s.,p.c. | Dentist | 715 W Sherman Ave, Suite H, Harrison, AR 72601-2743 | 2006-08-18 |
| 1588672638 | The Mental Fitness Center of The Ozarks,inc | Clinical Neuropsychologist | 715 W Sherman Ave, Ste F, Harrison, AR 72601-2743 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760037980 | Juliet Pauletta West | Nurse Practitioner | 106 Calvert Street, Harrison, NY 10528-0001 | 2019-08-05 |
| 1710542410 | Keith Peter Tenhundfeld | Nurse Practitioner | 7995 New Haven Rd, Harrison, OH 45030-9738 | 2019-05-08 |
| 1558820688 | Jennifer Dennette James | Nurse Practitioner | 724 N Spring St Ste A, Harrison, AR 72601-2913 | 2019-03-18 |
| 1780150060 | Gregory Alen Blake Jr. | Nurse Practitioner | 1636 Tunis Dr, Harrison, OH 45030-2834 | 2018-10-15 |
| 1013496033 | Sarah Sareang Soeum-skoyles | Nurse Practitioner | 600 Mamaroneck Ave Ste 200, Harrison, NY 10528-1635 | 2018-08-09 |
| 1023543758 | Skipper Dawn Mccormick | Nurse Practitioner | 624 W Central Ave, Harrison, AR 72601-5006 | 2017-05-01 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1811443526 | Asa Dean Smith | Nurse Practitioner | 825 N Main St Ste 1, Harrison, AR 72601-2939 | 2016-09-01 |
| 1336417997 | Susan Lea Zickler | Nurse Practitioner | 103 E Crandall Ave, Harrison, AR 72601-3629 | 2011-12-09 |
| 1366470817 | Connie D Knapper | Nurse Practitioner | 741 Richard Dr, Harrison, MI 48625-9289 | 2006-06-30 |
| Find all providers in HARRISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.