MANDY KOEKEMOER NPI 1164086559

NPI Information

NPI: 1164086559
Provider Name: MANDY KOEKEMOER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4713 WINGED FOOT LN
JONESBORO, AR
ZIP 72405
Phone: (870) 243-0418
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Mandy Koekemoer is a family nurse practitioner in Jonesboro, AR. Mandy Koekemoer NPI is 1164086559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4713 WINGED FOOT LN
JONESBORO, AR
ZIP 72405-050
Phone: (870) 243-0418

The enumeration date for this NPI number is 5/1/2019 and was last updated on 11/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R69806	ARKANSAS	No
2	363LF0000X	Nurse Practitioner	Family	222001	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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