Healthcare Provider Details

I. General information

NPI: 1679482723
Provider Name (Legal Business Name): SANGITA THAPA MAGAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 REED DR
JONESBORO AR
72405-9407
US

IV. Provider business mailing address

5325 REED DR
JONESBORO AR
72405-9407
US

V. Phone/Fax

Practice location:
  • Phone: 405-719-6217
  • Fax:
Mailing address:
  • Phone: 405-719-6217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number125481
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: