Efeovbokhan, Nephertiti

Efeovbokhan, Nephertiti is an individual health care provider with primary practice located at 4802 E Johnson Ave , Jonesboro AR 72401-8413. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Efeovbokhan, Nephertiti can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4802 E Johnson Ave Jonesboro AR 72401-8413
Fax: (870) 934-3630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME124080 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E-8188 Arkansas

Profile Details

NPI number 1679738538
LBN Legal business name Efeovbokhan, Nephertiti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679738538 NPPES
Arkansas MEDICAID 201183001

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