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NPI Code Detail

MEDICARE: MRS. AMBER MICHELLE SLOAN APN

MEDICARE: MRS. AMBER MICHELLE SLOAN APN
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
1207QA0505XAdult Medicine PhysicianA002920AR
2363LF0000XFamily Nurse PractitionerA02920AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952515777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER MICHELLE SLOAN APN
Provider Business Mailing Address
First Line : 2911 LONGVIEW DR STE A
Second Line :
City : JONESBORO
State : AR
Zip : 72401-5902
Country : US
Telephone Number : 870-333-5451
Fax Number : 870-333-5452
Provider Business Practice Location Address
First Line : 2911 LONGVIEW DR STE A
Second Line :
City : JONESBORO
State : AR
Zip : 72401-5902
Country : US
Telephone Number : 870-333-5451
Fax Number : 870-333-5452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 04/29/2025

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