Provider Demographics
NPI:1043704497
Name:FEHER, JAMES ROBERT (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ROBERT
Last Name:FEHER
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-6278
Mailing Address - Country:US
Mailing Address - Phone:423-718-4487
Mailing Address - Fax:
Practice Address - Street 1:4077 ELM SPRINGS RD STE 105
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-3703
Practice Address - Country:US
Practice Address - Phone:479-927-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005687363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily