MEDICARE: NYASIA HARRIS QBHP

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1700661766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYASIA HARRIS QBHP

Provider Business Mailing Address
First Line	:	1707 LINWOOD DR STE B
Second Line	:
City	:	PARAGOULD
State	:	AR
Zip	:	72450-5365
Country	:	US
Telephone Number	:	870-604-4455
Fax Number	:	888-977-2956

Provider Business Practice Location Address
First Line	:	106 RIDGEWAY ST STE A&B
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-7198
Country	:	US
Telephone Number	:	501-389-8100
Fax Number	:	888-977-2956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2023
Last Update Date	:	12/09/2025

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