TIFFANY WARGO


Address: 300 S School St, Dermott, AR 71638-2127
Phone: 8705383355

TIFFANY WARGO (NPI# 1104361880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104361880
Entity Type Individual
Full Name TIFFANY WARGO
Credential APRN
Practice Address 300 S School St
Dermott
AR 71638-2127
Mailing Address Po Box 509
Dermott
AR 71638-0509
Practice Telephone 8705383355
Mailing Telephone 8705385414
Enumeration Date 2017-01-04
Last Update Date 2017-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
A004906 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 S SCHOOL ST
City DERMOTT
State AR
Zip Code 71638-2127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386758043 Mainline Health Systems Inc Clinic/Center 300 S School St, Dermott, AR 71638-2228 2006-08-19
1962044800 Charlie J Gober Nurse Practitioner 300 S School St, Dermott, AR 71638-2127 2019-10-11
1710448535 Clark N Roberts Nurse Practitioner 300 S School St, Dermott, AR 71638-2127 2019-03-26
1205315637 Kimberly Weeks Nurse Practitioner 300 S School St, Dermott, AR 71638-2127 2018-08-07
1184102303 William Joshua Hunter Nurse Practitioner 300 S School St, Dermott, AR 71638-2127 2018-07-31
1386026359 Courtney Shay Johnson Nurse Practitioner 300 S School St, Dermott, AR 71638-2127 2015-06-25
1669886552 Shenika Jackson-king Nurse Practitioner 300 S School St, Dermott, AR 71638-2127 2014-06-18
1821409996 Crystal Little Pediatrics 300 S School St, Dermott, AR 71638-2127 2014-05-12
1659710879 Dana Shea Phillips Nurse Practitioner 300 S School St, Dermott, AR 71638-2127 2013-06-20
1003021692 Gary Dalton Dentist 300 S School St, Dermott, AR 71638-2127 2007-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104251180 Rebekah Ayecock Nurse Practitioner 300 South School St, Dermott, AR 71638 2013-09-09
1508198201 Roger Alan Mason Surgery 300 South School St., Dermott, AR 71638 2010-02-04
1730219353 Dermott Day Service Center, Inc. Day Training, Developmentally Disabled Services 817 North School Street, Dermott, AR 71638 2007-03-06
1134286750 Dermott City Nursing Home Skilled Nursing Facility 702 West Gaines St., Dermott, AR 71638 2007-01-02
1861555005 Dermott High School Local Education Agency (LEA) 525 East Speedway, Dermott, AR 71638 2006-12-19
1811095656 Phillip W Pennington Dentist 300 S School, Dermott, AR 71638 2006-09-20
1669401501 Mainline Health Systems, Inc Clinic/Center 134 South Strickland St, Dermott, AR 71638 2006-07-02
1982643409 Jeffery Fenton Dunn Sr. Pharmacist 111 E Peddicord Street, Dermott, AR 71638 2006-06-06
1609298306 Cb King Jm Day Training, Developmentally Disabled Services 1109 North School, Dermott, AR 71638-0000 2014-01-15
1780119610 Medical Transport Management, Inc Ambulance 109 W Peddicord St, Dermott, AR 71638-2115 2017-04-28
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720611361 Jamie L Cagle Nurse Practitioner 1500 Dodson Ave # 60, Fort Smith, AR 72901-5182 2020-02-21
1306489281 Lawana Bradley Nurse Practitioner 296 Lake Rd, Atkins, AR 72823-7165 2019-10-23
1679116024 Michelle Grant Nurse Practitioner 130 Mark Cir, Monticello, AR 71655-5617 2019-10-17
1780238782 Chelsea D. Marquis Nurse Practitioner 4401 Sw Flagstone Blvd, Bentonville, AR 72713-4005 2019-07-29
1265094478 Kristyn Clark Nurse Practitioner 210 S Thompson St, Springdale, AR 72764-4239 2019-07-08
1184194029 Stephanie Lucille Converse Nurse Practitioner 326 Lee Rd # 601, Brickeys, AR 72320-8000 2018-12-04
1174026165 Phoebe Grace Chandler Nurse Practitioner 3782 Solitude St, Springdale, AR 72764-6368 2018-03-15
1386143717 Andrew Freeman Oliver Nurse Practitioner 650 United Dr Ste 200, Conway, AR 72032-7001 2018-02-12
1760908982 Jamie Leigh Ferguson Nurse Practitioner 4301 W Markham St # 721-3, Little Rock, AR 72205-7101 2017-08-18
1336677731 Robert Lee Mcgruder Jr. Nurse Practitioner 2308 Royal Ct Unit B, Bryant, AR 72022-4216 2017-05-30
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Competitor

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City DERMOTT
Zip Code 71638

Improve Information

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Dataset Information

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.

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