CANDACE JEWEL HARPER


Address: 2523 E Huntsville Rd, Fayetteville, AR 72701-7329
Phone: 4794422822

CANDACE JEWEL HARPER (NPI# 1326078957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326078957
Entity Type Individual
Full Name CANDACE JEWEL HARPER
Credential PAC
Practice Address 2523 E Huntsville Rd
Fayetteville
AR 72701-7329
Mailing Address Po Box 1907
Fayetteville
AR 72702-1907
Practice Telephone 4794422822
Practice Fax Number 4794446663
Mailing Telephone 4794422822
Mailing Fax Number 4794446663
Enumeration Date 2006-07-03
Last Update Date 2010-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA-262 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR AR BC/BS 5A362 01
AR AR BC/BS P038 01

Office Location

Street Address 2523 E HUNTSVILLE RD
City FAYETTEVILLE
State AR
Zip Code 72701-7329

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407806052 Medical Associates of Northwest Arkansas Pa Family Medicine 2523 E Huntsville Rd, Fayetteville, AR 72701-7329 2006-05-12
1831548270 Andrew A Coppola Family Medicine 2523 E Huntsville Rd, Fayetteville, AR 72701-7329 2016-06-07
1992110860 Michelle N Dallas Nurse Practitioner 2523 E Huntsville Rd, Fayetteville, AR 72701-7329 2014-06-30
1770907339 Anna D Hudson Physician Assistant 2523 E Huntsville Rd, Fayetteville, AR 72701-7329 2014-02-18
1982905444 Benjamin P Sexton Physician Assistant 2523 E Huntsville Rd, Fayetteville, AR 72701 2010-11-15
1275762536 Shawn Patrick Brown Family Medicine 2523 E Huntsville Rd, Fayetteville, AR 72701 2009-07-08
1790952067 Lonna Shay Bufford Family Medicine 2523 E Huntsville Rd, Fayetteville, AR 72701-7329 2008-05-14
1396774618 Larry D Tuttle Family Medicine 2523 E Huntsville Rd, Fayetteville, AR 72701 2006-06-30
1285660464 Ann-marie Magre Family Medicine 2523 E Huntsville Rd, Fayetteville, AR 72701 2006-06-23
1881630259 Garland M Thorn Family Medicine 2523 E Huntsville Rd, Fayetteville, AR 72701 2006-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1225520828 Jacoby Markie Clemons Specialist/Technologist 1201 West Leroy Pond Dr, Fayetteville, AR 72701 2018-05-31
1952892390 Ambur Dryer Specialist/Technologist 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 2018-05-22
1851814230 Blakely Low Psychologist 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 2017-07-18
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1407204217 Kenna Megan Hodeaux Specialist/Technologist 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 2016-06-02
1740634435 Crystal Susan Rofkahr Psychologist 26 E Meadow St Ste 3, Fayetteville, AR 72701 2016-04-19
1942663521 Satoshi IIda Specialist/Technologist 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 2016-04-01
1992163901 Dr Don M Chaney Dds Pa Dentist 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 2016-02-04
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
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Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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