DR. EDNA JACQUELINE PRINCE (NPI# 1225230402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225230402 |
| Entity Type | Individual |
| Full Name | DR. EDNA JACQUELINE PRINCE |
| Credential | M.D. |
| Practice Address |
1400 Dale Bumpers Road Fcc Forrest City Forrest City AR 72336 |
| Mailing Address |
2093 Hallwood Dr Memphis TN 38107-4704 |
| Practice Telephone | 8706306000 |
| Mailing Telephone | 9012767169 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 17426 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1400 DALE BUMPERS ROAD FCC FORREST CITY |
| City | FORREST CITY |
| State | AR |
| Zip Code | 72336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922127687 | Department of Health and Human Services | Public Health or Welfare | 1501dawson Road, Forrest City, AR 72336 | 2007-03-27 |
| 1821293051 | Forrest City Clinic Company LLC | Obstetrics & Gynecology | 1601 Newcastle Road, Forrest City, AR 72336 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130078 | Jacqueline Leigh Brown | Nurse Practitioner | 904 Holiday Dr Ste 402, Forrest City, AR 72335-9157 | 2020-03-26 |
| 1871144105 | Catherine Coleman, Lpc | Counselor | 495 Springsway Drive, Forrest City, AR 72335-2921 | 2019-09-27 |
| 1396218483 | Forrest City Family Pharmacy LLC | Pharmacy | 2307 N Washington St, Forrest City, AR 72335-1800 | 2019-01-10 |
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1619460813 | Alison Hobson Shepherd | Nurse Practitioner | 904 Holiday Dr Ste 404, Forrest City, AR 72335-9157 | 2018-06-12 |
| 1720579873 | Caitlin K Graham | Dentist | 4850 N Washington St, Forrest City, AR 72335-7674 | 2018-05-24 |
| 1255843306 | Hannah Michelle Byrd | Occupational Therapy Assistant | 3326 Hwy 1 South, Forrest City, AR 72360 | 2017-10-30 |
| 1992229082 | Reda Vernice Kimble | Social Worker | 407 Cleveland St, Forrest City, AR 72335-3302 | 2017-07-31 |
| 1003343781 | Kristian Nicole Moore | Occupational Therapy Assistant | 133 Sfc 342, Forrest City, AR 72335-7435 | 2017-05-12 |
| 1922545383 | Kimberly Burnett | Speech-Language Pathologist | 400 Dawson Rd., Forrest City, AR 72335 | 2017-01-24 |
| Find all providers in FORREST CITY | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548452485 | Hipolito D. Matos | General Practice | 1301 Dale Bumpers Dr, Forrest City, AR 72335-2696 | 2007-08-14 |
| 1972740678 | David Lee Webber, D.o. P.a. | General Practice | 328 Kittle Rd, Forrest City, AR 72335-2960 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382059 | Landmark Medical of Arkansas Pa | General Practice | 425 W Capitol Ave Ste 425, Little Rock, AR 72201-3424 | 2020-10-08 |
| 1306480231 | Command Radiology Solutions, Inc. | General Practice | 3708 Pilot Grove Loop, Ozark, AR 72949-2488 | 2019-11-04 |
| 1215586797 | Achor Management Inc | General Practice | 1900 Club Manor Dr Ste 101a, Maumelle, AR 72113-7443 | 2019-09-08 |
| 1093364820 | Center for Regenerative Medicine Pa | General Practice | 9307 Maumelle Blvd, North Little Rock, AR 72113-6609 | 2019-09-04 |
| 1083269690 | University of Arkansas At Monticello | General Practice | 663 University Drive, Monticello, AR 71656 | 2019-08-09 |
| 1912492786 | Chelsea Brown | General Practice | 6309 Highway 5 N, Bryant, AR 72022-8506 | 2018-06-25 |
| 1205345154 | Lakeside Walk-in Clinic Pllc | General Practice | 2230 Malvern Ave Ste E, Hot Springs, AR 71901-8000 | 2017-09-22 |
| 1558897595 | Epoch-nwa Pllc | General Practice | 5100 W Pauline Whitaker Pkwy, Ste. 110, Rogers, AR 72758-8335 | 2017-05-11 |
| 1023540655 | Aaron M Smith | General Practice | Varner Unit State Hwy 388, Gould, AR 71643 | 2017-04-02 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | FORREST CITY |
| Zip Code | 72336 |
Please comment or provide details below to improve the information on DR. EDNA JACQUELINE PRINCE.
| 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.