Organization · Type 2 NPI

LHCG Lxxxv, LLC

Nurse Practitioner · Jonesboro, AR

NPI number 1700335031 Active

Practice location

3024 Red Wolf Blvd Ste 4
Jonesboro, AR 72401-7431

Fax (870) 277-0967

Mailing address

PO Box 51266
Lafayette, LA 70505-1266

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency 251G00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1700335031

LHCG Lxxxv, LLC's National Provider Identifier is 1700335031, issued on Sep 28, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jonesboro, AR. The record was last updated on Aug 19, 2026.