Healthcare Provider Details

I. General information

NPI: 1003182387
Provider Name (Legal Business Name): JOSEPH C FENDLEY APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2266 ALBERT PIKE RD
HOT SPRINGS AR
71913-4003
US

IV. Provider business mailing address

PO BOX 21850
HOT SPRINGS AR
71903-1850
US

V. Phone/Fax

Practice location:
  • Phone: 501-767-1144
  • Fax: 501-767-4455
Mailing address:
  • Phone: 501-525-9675
  • Fax: 501-525-7059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA003683
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberA003683
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: