Healthcare Provider Details

I. General information

NPI: 1487570529
Provider Name (Legal Business Name): TROUTT MEDICAL CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 MEDICAL CIR STE 1
NASHVILLE AR
71852-8613
US

IV. Provider business mailing address

119 MEDICAL CIR STE 1
NASHVILLE AR
71852-8613
US

V. Phone/Fax

Practice location:
  • Phone: 870-912-6027
  • Fax: 870-912-6026
Mailing address:
  • Phone: 870-912-6027
  • Fax: 870-912-6026

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: MICHAEL A TROUTT
Title or Position: OWNER
Credential: NP
Phone: 870-557-5718