Healthcare Provider Details

I. General information

NPI: 1306754247
Provider Name (Legal Business Name): HEALING HANDS PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 COUNTY ROAD 128
BONO AR
72416-8183
US

IV. Provider business mailing address

212 COUNTY ROAD 128
BONO AR
72416-8183
US

V. Phone/Fax

Practice location:
  • Phone: 870-897-1089
  • Fax:
Mailing address:
  • Phone: 870-897-1089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TANJA MEAD
Title or Position: OWNER/PRACTITIONER
Credential: MSN,FNP
Phone: 870-897-1089