Provider Demographics
NPI:1952515777
Name:SLOAN, AMBER MICHELLE (APN)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:MICHELLE
Last Name:SLOAN
Suffix:
Gender:
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 LONGVIEW DR STE A
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-5902
Mailing Address - Country:US
Mailing Address - Phone:870-333-5451
Mailing Address - Fax:870-333-5452
Practice Address - Street 1:2911 LONGVIEW DR STE A
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5902
Practice Address - Country:US
Practice Address - Phone:870-333-5451
Practice Address - Fax:870-333-5452
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA002920207QA0505X
ARA02920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR162280758Medicaid