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NPI Code Detail

MEDICARE: ALEXIS WELLS-HOLLINGSHEAD APRN

MEDICARE:   ALEXIS  WELLS-HOLLINGSHEAD  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner228112AR

General Provider Information

NPI Number : 1053167460
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS WELLS-HOLLINGSHEAD APRN
Provider Business Mailing Address
First Line : 413 S TAFT ST
Second Line :
City : BENTON
State : AR
Zip : 72015-7401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 413 S TAFT ST
Second Line :
City : BENTON
State : AR
Zip : 72015-7401
Country : US
Telephone Number : 501-326-8328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2024
Last Update Date : 06/01/2026

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Directions to “ ALEXIS WELLS-HOLLINGSHEAD APRN” Practice Location

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