Lori Fortner (NPI# 1982978532, PAC ID# 1355501156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1982978532 |
PAC ID by PECOS | 1355501156 |
Professional Enrollment ID | I20120403000123 |
Full Name | Lori Fortner |
Organization Legal Name | MENA FAMILY HEALTH CENTER |
Address |
1103 College Dr Mena AR 71953-2519 |
Phone Number | 4793941414 |
Gender | F |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3971629155 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
040015 | MENA REGIONAL HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
1103 College Dr, Mena, AR 71953-2519 | 4793941414 | MENA FAMILY HEALTH CENTER |
1103 College Dr, Mena, AR 71953-2519 | WALK IN CENTER |
Organization Legal Name | MENA FAMILY HEALTH CENTER |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patrick J Fox | Family Medicine | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
Steven N Forrest | Family Medicine | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
Jennifer Smith Kesterson | Nurse Practitioner | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
Kristen E Mack | Certified Clinical Nurse Specialist (cns) | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
David L Koppein | Nurse Practitioner | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
Street Address |
1103 COLLEGE DR |
City | MENA |
State | AR |
Zip | 71953-2519 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patrick J Fox | Family Medicine | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
Steven N Forrest | Family Medicine | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
Jennifer Smith Kesterson | Nurse Practitioner | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
Stacy Renee Scott | Nurse Practitioner | Walk In Center | 1103 College Dr, Mena, AR 71953-2519 |
Kristen E Mack | Certified Clinical Nurse Specialist (cns) | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
David L Koppein | Nurse Practitioner | Mena Family Health Center | 1103 College Dr, Mena, AR 71953-2519 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen A Perry | General Practice | 1690 Polk, Suite 67, Mena, AR 71953 | |
Clemit W Liles Iii | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
Clemit W Liles Jr. | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
John Finck | Family Medicine | 209 N Morrow St, Mena, AR 71953-2514 | |
Jonathan C Welsh | Diagnostic Radiology | Mena Hospital Commission | 311 N Morrow St, Mena, AR 71953-2516 |
Shanna Leigh Hill Spence | Family Medicine | General Emergency Physicians Inc | 311 Morrow St N, Mena Regional Health System, Mena, AR 71953-2516 |
Pyke R Bobo | Certified Registered Nurse Anesthetist (crna) | Mena Hospital Commission | 311 N Morrow St, Mena, AR 71953-2516 |
Mary J Campbell | Certified Registered Nurse Anesthetist (crna) | Mena Hospital Commission | 311 N Morrow St, Mena, AR 71953-2516 |
David W Henderson | Emergency Medicine | Mena Hospital Commission | 311 N Morrow St, Mena, AR 71953-2516 |
Brent D Chavis | Family Medicine | General Emergency Physicians Inc | 311 Morrow St N, Mena Regional Health System, Mena, AR 71953-2516 |
Find all physicians in zip 71953 |
City | MENA |
Zip Code | 71953 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MENA + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.