Healthcare Provider Details

I. General information

NPI: 1639370646
Provider Name (Legal Business Name): ARKADELPHIA HEALTH AND FAMILY CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 N 26TH ST SUITE C
ARKADELPHIA AR
71923-4337
US

IV. Provider business mailing address

208 N 26TH ST SUITE C
ARKADELPHIA AR
71923-4337
US

V. Phone/Fax

Practice location:
  • Phone: 870-246-1652
  • Fax: 870-246-6995
Mailing address:
  • Phone: 870-246-1652
  • Fax: 870-246-6995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA01539
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP05803019
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC8415
License Number StateAR

VIII. Authorized Official

Name: MISS AIMEE MONETTE HUGHES
Title or Position: ADVANCED PRACTICE NURSE
Credential: A.P.N.
Phone: 870-246-1652