Organization · Type 2 NPI

Premise Health of Arkansas Medical PA

Primary Care Clinic/Center · Fayetteville, AR

NPI number 1174003685 Active

Practice location

2907 E Joyce Blvd Ste 6
Fayetteville, AR 72703-5390

Call (479) 442-9900 Map

Fax (479) 442-9903

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1174003685

Premise Health of Arkansas Medical PA's National Provider Identifier is 1174003685, issued on Aug 15, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fayetteville, AR. The record was last updated on Feb 2, 2026.