MRS. CAROLYN ANN POLLOCK


Address: 3270 N Wimberly Dr, Fayetteville, AR 72703-4032
Phone: 4795218181

MRS. CAROLYN ANN POLLOCK (NPI# 1821010364) 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) 1821010364
Entity Type Individual
Full Name MRS. CAROLYN ANN POLLOCK
Credential ADVANCED PRACTICE NU
Practice Address 3270 N Wimberly Dr
Fayetteville
AR 72703-4032
Mailing Address 1050 Maplewood Dr
Centerton
AR 72719-9680
Practice Telephone 4795218181
Mailing Telephone 8702855025
Enumeration Date 2006-07-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
A01026 ANP AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR PRESCRIPTIVE AUTHORITY 1037 01

Office Location

Street Address 3270 N WIMBERLY DR
City FAYETTEVILLE
State AR
Zip Code 72703-4032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932591617 Heron Martin Nurse Practitioner 3270 N Wimberly Dr, Fayetteville, AR 72703-4032 2015-03-04

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1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023575818 Janet Cole Nurse Practitioner 916 Our St, Fayetteville, NC 28314-8475 2019-02-27
1083836886 Linda Mckennon Smith Nurse Practitioner 3729 N Crossover Rd, Suite 107, Fayetteville, AR 72703-4582 2007-05-02
1831249986 County of Cumberland Nurse Practitioner 1235 Ramsey Street, Fayetteville, NC 28301-4401 2007-01-11
1386623361 Dawn Fowler Barnes Nurse Practitioner 2915 Raeford Rd, Ste 203, Fayetteville, NC 28303-5508 2006-01-10
1114583101 Yvonne Conaway Nurse Practitioner 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551 2019-05-15
1982110813 Michelle Gomez Stucky Nurse Practitioner 1235 Ramsey St, Fayetteville, NC 28301-4401 2017-12-14
1447763222 Kristiana Gregg Nurse Practitioner 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 2017-11-15
1497047658 Heidi Lynn Lowder Nurse Practitioner 2817 Reilly Rd, Fayetteville, NC 28310 2011-05-06
1275855504 Lindsey L Witt Nurse Practitioner 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 2010-03-01
1285963942 Shawn Lynese Smith Nurse Practitioner 2300 Ramsey St, Fayetteville, NC 28301-3856 2009-12-09
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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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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