Healthcare Provider Details

I. General information

NPI: 1033988043
Provider Name (Legal Business Name): MRS. WESLEY ANN RHODES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WESLEY ANN NELSON

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 HIGHWAY 135 N
PARAGOULD AR
72450-8772
US

IV. Provider business mailing address

3510 HIGHWAY 135 N
PARAGOULD AR
72450-8772
US

V. Phone/Fax

Practice location:
  • Phone: 870-450-3413
  • Fax:
Mailing address:
  • Phone: 870-450-3413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR107404
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number237562
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: