Healthcare Provider Details

I. General information

NPI: 1265779193
Provider Name (Legal Business Name): OXFORD CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6805 JOHNSON RD
HUNTINGTON AR
72940-9433
US

IV. Provider business mailing address

6805 JOHNSON RD
HUNTINGTON AR
72940-9433
US

V. Phone/Fax

Practice location:
  • Phone: 479-227-1598
  • Fax: 877-844-0765
Mailing address:
  • Phone: 479-227-1598
  • Fax: 877-844-0765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CARMEN OXFORD
Title or Position: OWNER
Credential: APN
Phone: 479-227-1598