Healthcare Provider Details

I. General information

NPI: 1952578429
Provider Name (Legal Business Name): JAMIE DAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1487 W KEISER AVE
OSCEOLA AR
72370-2806
US

IV. Provider business mailing address

PO BOX 11064
FAYETTEVILLE AR
72703-1001
US

V. Phone/Fax

Practice location:
  • Phone: 870-563-4500
  • Fax:
Mailing address:
  • Phone: 870-520-5014
  • Fax: 870-520-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2606-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: