Healthcare Provider Details

I. General information

NPI: 1538967831
Provider Name (Legal Business Name): ASHLEY PALMER H.I.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 W WALNUT ST STE 300
ROGERS AR
72756-0359
US

IV. Provider business mailing address

1635 HIGDON FERRY RD STE B
HOT SPRINGS AR
71913-6904
US

V. Phone/Fax

Practice location:
  • Phone: 479-631-9799
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number697
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: