=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639497134
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GINGER L CLIFTON M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2010
-----------------------------------------------------
Last Update Date | 11/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2263 HWY 65 N
-----------------------------------------------------
City | MARSHALL
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72650-1060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-448-5733
-----------------------------------------------------
Fax | 877-550-1872
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1060
-----------------------------------------------------
City | MARSHALL
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72650-1060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-448-5733
-----------------------------------------------------
Fax | 877-550-1872
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | E-9956
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------