Healthcare Provider Details

I. General information

NPI: 1184663783
Provider Name (Legal Business Name): SHEILA ELINOR HELLMAN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 SOUTHWEST DR
JONESBORO AR
72401-5829
US

IV. Provider business mailing address

P.O. BOX 915
JONESBORO AR
72403-0915
US

V. Phone/Fax

Practice location:
  • Phone: 870-930-9355
  • Fax: 870-268-6859
Mailing address:
  • Phone: 870-930-9355
  • Fax: 870-268-6859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE1539
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberE1539
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberE1539
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberE1539
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: