Healthcare Provider Details

I. General information

NPI: 1730479668
Provider Name (Legal Business Name): ZENOBIA L NEWMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

558 ATKINS BLVD
MARIANNA AR
72360-2113
US

IV. Provider business mailing address

558 ATKINS BLVD
MARIANNA AR
72360-2113
US

V. Phone/Fax

Practice location:
  • Phone: 870-298-4258
  • Fax:
Mailing address:
  • Phone: 870-298-4258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number955698
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP120727
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15287
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number225310
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: