Provider Demographics
NPI:1073156741
Name:THE GUINN CLINIC, PLLC
Entity Type:Organization
Organization Name:THE GUINN CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC, APRN-CNP/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDANCE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GUINN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP
Authorized Official - Phone:870-814-4113
Mailing Address - Street 1:PO BOX 11898
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-0037
Mailing Address - Country:US
Mailing Address - Phone:870-814-4113
Mailing Address - Fax:
Practice Address - Street 1:1906 W HILLSBORO ST STE B
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-6806
Practice Address - Country:US
Practice Address - Phone:870-814-4113
Practice Address - Fax:501-492-6477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty