Provider Demographics
NPI:1669071361
Name:HARMONY CLINIC AND MEDSPA, LLC
Entity type:Organization
Organization Name:HARMONY CLINIC AND MEDSPA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE OKWUOSA
Authorized Official - Middle Name:APRN
Authorized Official - Last Name:FNP-BC
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:501-231-3595
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:AR
Mailing Address - Zip Code:72002-0193
Mailing Address - Country:US
Mailing Address - Phone:501-231-3595
Mailing Address - Fax:
Practice Address - Street 1:15604 ALEXANDER RD UNIT 193
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:AR
Practice Address - Zip Code:72002-3008
Practice Address - Country:US
Practice Address - Phone:501-231-3595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty