Healthcare Provider Details

I. General information

NPI: 1417554015
Provider Name (Legal Business Name): EMBRACE FMO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 SE 28TH ST STE 2
BENTONVILLE AR
72712-0076
US

IV. Provider business mailing address

1502 SE 28TH ST STE 2
BENTONVILLE AR
72712-0076
US

V. Phone/Fax

Practice location:
  • Phone: 479-268-4774
  • Fax: 479-268-3451
Mailing address:
  • Phone: 479-268-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SCHROEDER
Title or Position: PRESIDENT
Credential: MD
Phone: 479-616-2741