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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | PRESCRIPTIVE AUTHORITY | 1037 | 01 |
Street Address |
3270 N WIMBERLY DR |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-4032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932591617 | Heron Martin | Nurse Practitioner | 3270 N Wimberly Dr, Fayetteville, AR 72703-4032 | 2015-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
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 |
Find all providers in zip 72703 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72703 |
Please comment or provide details below to improve the information on MRS. CAROLYN ANN POLLOCK.
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.