Provider Demographics
NPI:1053009001
Name:CR8TIVE MED SOLUTIONS
Entity type:Organization
Organization Name:CR8TIVE MED SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMAH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:901-921-2686
Mailing Address - Street 1:109 GRAYSON DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-9438
Mailing Address - Country:US
Mailing Address - Phone:901-921-2686
Mailing Address - Fax:870-252-2563
Practice Address - Street 1:1904 GRANT AVE STE G
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6165
Practice Address - Country:US
Practice Address - Phone:870-493-3007
Practice Address - Fax:870-330-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty