MEDICARE: VOCQUE MEDICAL SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528787959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOCQUE MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	18614 PHILIS DR
Second Line	:
City	:	HENSLEY
State	:	AR
Zip	:	72065-9781
Country	:	US
Telephone Number	:	501-475-8021
Fax Number	:	866-485-0549

Provider Business Practice Location Address
First Line	:	3012 E WOODSON LATERAL RD
Second Line	:
City	:	HENSLEY
State	:	AR
Zip	:	72065-9169
Country	:	US
Telephone Number	:	501-475-8021
Fax Number	:	866-485-0549

Authorized Official
Title or Position	:	APRN
Name	:	TABATHA GAIL VOCQUE
Credential	:	APRN
Telephone Number	:	870-329-0424

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	05/23/2024

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Directions to “VOCQUE MEDICAL SOLUTIONS LLC ” Practice Location

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