Jennifer Diane Liles (NPI# 1174069611, PAC ID# 7618251794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174069611 |
| PAC ID by PECOS | 7618251794 |
| Professional Enrollment ID | I20170309001769 |
| Full Name | Jennifer Diane Liles |
| Organization Legal Name | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Address |
600 Memorial Dr Bella Vista AR 72714-1847 |
| Phone Number | 4798556165 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648177873 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040010 | MERCY HOSPITAL NORTHWEST ARKANSAS |
| Address | Phone | Organization |
|---|---|---|
| 600 Memorial Dr, Bella Vista, AR 72714-1847 | 4798556165 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Organization Legal Name | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Physicians | 250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Lynn Sather | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 515 Enterprise Dr, 300 Mercy Clinic Behavioral Health En, Lowell, AR 72745-8982 |
| Melinda S Tucker | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72712-4589 |
| Dominic Amadeo Jacobelli | Sports Medicine | Mercy Health Northwest Arkansas Communities | 1000 S 52nd St, Mercy Clinic Orthopedic Rogers, Rogers, AR 72758-8610 |
| Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 1110 W Robinson Ave, Mercy Clinic Family Medicine W. R, Springdale, AR 72764-6233 |
| Kali Michelle Eddy | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 2100 S 54th St, Mercy Clinic Urology S 54th S, Rogers, AR 72758-8169 |
| Megan E Busch | Family Medicine | Mercy Health Northwest Arkansas Communities | 3101 Se 14th St, Bentonville, AR 72712-4900 |
| Manikandan Rajagopal | Internal Medicine | Mercy Health Northwest Arkansas Communities | 2710 Rife Medical Lane, Rogers, AR 72758-1452 |
| Robert Thaxton Wells | Gastroenterology | Mercy Health Northwest Arkansas Communities | 1 Mercy Way, Mercy Clinic Primary Care Bella V, Bella Vista, AR 72714-3000 |
| Raja Sekhar Dondeti | Family Medicine | Mercy Health Northwest Arkansas Communities | 4100 Sw I St, 100 Mercy Clinic Pediatrics I Street, Bentonville, AR 72713-0200 |
| Terryl J Ortego | Gastroenterology | Mercy Health Northwest Arkansas Communities | 116 W Monroe Ave, Mercy Clinic Gastroenterology Mon, Lowell, AR 72745-9682 |
| Street Address |
600 MEMORIAL DR |
| City | BELLA VISTA |
| State | AR |
| Zip | 72714-1847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Scott Estes | Internal Medicine | Mercy Health Northwest Arkansas Communities | 600 Memorial Dr, Bella Vista, AR 72714-1847 |
| Albert P Price | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 600 Memorial Dr, Bella Vista, AR 72714-1847 |
| Jessica Carol Knight | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 600 Memorial Dr, Bella Vista, AR 72714-1847 |
| Richard Paul Skrei | Family Medicine | Mercy Health Northwest Arkansas Communities | 600 Memorial Dr, Bella Vista, AR 72714-1847 |
| Robert V Sanders Iii | Internal Medicine | Mercy Health Northwest Arkansas Communities | 600 Memorial Dr, Bella Vista, AR 72714-1847 |
| Margaret P Ellis | Internal Medicine | Mercy Health Northwest Arkansas Communities | 600 Memorial Dr, Bella Vista, AR 72714-1847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn S Key | Audiologist | Better Hearing and Balance Connection | 407 Town Ctr E, Bella Vista, AR 72714-1818 |
| Robert Thaxton Wells | Gastroenterology | Mercy Health Northwest Arkansas Communities | 1 Mercy Way, Mercy Clinic Primary Care Bella V, Bella Vista, AR 72714-3000 |
| Tara Leann Green | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 1 Mercy Way, Mercy Clinic Primary Care Bella V, Bella Vista, AR 72714-3000 |
| George V Schaefer | Pediatric Medicine | Mercy Health Northwest Arkansas Communities | 1 Mercy Way, Mercy Clinic Bella Vista Mercy Wa, Bella Vista, AR 72714-3000 |
| Sharon Maestri | Clinical Social Worker | 7 Tim Ln, Bella Vista, AR 72714-3200 | |
| Stephanie Michelle Stanley | Optometry | Boozman-hof Regional Eye Clinic Pa | 25 Cunningham Cor, Bella Vista, AR 72714-3520 |
| Austin P Bell | Ophthalmology | Boozman-hof Regional Eye Clinic Pa | 25 Cunningham Cor, Bella Vista, AR 72714-3520 |
| Michael Ray Waggoner | Ophthalmology | Boozman-hof Regional Eye Clinic Pa | 25 Cunningham Cor, Bella Vista, AR 72714-3520 |
| Samantha Devlin | Optometry | Boozman-hof Regional Eye Clinic Pa | 25 Cunningham Cor, Bella Vista, AR 72714-3520 |
| Ashley R Brooks | Optometry | Boozman-hof Regional Eye Clinic Pa | 25 Cunningham Cor, Bella Vista, AR 72714-3520 |
| Find all physicians in zip 72714 | |||
| City | BELLA VISTA |
| Zip Code | 72714 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BELLA VISTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer Diane Liles.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.