Provider Demographics
NPI:1447305461
Name:A CLINIC FOR WOMEN
Entity type:Organization
Organization Name:A CLINIC FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-663-5055
Mailing Address - Street 1:500 SOUTH UNIVERSITY AVENUE
Mailing Address - Street 2:SUITE 709
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5309
Mailing Address - Country:US
Mailing Address - Phone:503-663-5055
Mailing Address - Fax:501-663-7065
Practice Address - Street 1:500 SOUTH UNIVERSITY AVENUE
Practice Address - Street 2:SUITE 709
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5309
Practice Address - Country:US
Practice Address - Phone:503-663-5055
Practice Address - Fax:501-663-7065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMC1819207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty