Provider Demographics
NPI:1851286348
Name:OFFORD, ANDREA RENA
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:RENA
Last Name:OFFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 NINA ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-5930
Mailing Address - Country:US
Mailing Address - Phone:501-529-5425
Mailing Address - Fax:
Practice Address - Street 1:1700 NINA ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-5930
Practice Address - Country:US
Practice Address - Phone:501-529-5425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health