NPI Code Details Logo

NPI 1588504088

NPI 1588504088 : NJ HEALTH NOW LLC : BENTON, AR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588504088
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NJ HEALTH NOW LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/01/2026
-----------------------------------------------------
    Last Update Date     |    04/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    234 W SOUTH ST 
-----------------------------------------------------
    City                 |    BENTON
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72015
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    501-313-0833
-----------------------------------------------------
    Fax                  |    844-481-3315
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    234 W SOUTH ST 
-----------------------------------------------------
    City                 |    BENTON
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72015
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    501-313-0833
-----------------------------------------------------
    Fax                  |    844-481-3315
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/PROVIDER
-----------------------------------------------------
    Name                 |     ALEXIS  WELLS-HOLLINGSHEAD 
-----------------------------------------------------
    Credential           |    APRN
-----------------------------------------------------
    Telephone            |    501-313-0833
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.