Healthcare Provider Details

I. General information

NPI: 1396545604
Provider Name (Legal Business Name): ALEXIS PAIGE FLOYD FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HENDERSON ST
ARKADELPHIA AR
71999-9326
US

IV. Provider business mailing address

1100 HENDERSON ST
ARKADELPHIA AR
71999-9326
US

V. Phone/Fax

Practice location:
  • Phone: 870-230-5000
  • Fax:
Mailing address:
  • Phone: 870-323-3580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number233601
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: