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PROVISION HEALTH CARE LLC
NPI 1134090061
Nurse Practitioner - Family in El Dorado, AR

Active since September 15, 2025
525 W FAULKNER ST, EL DORADO, AR 71730(870) 337-2009 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Provision Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVISION HEALTH CARE LLC (NPI 1134090061) is a healthcare organization registered as a family in El Dorado, Arkansas and active in the NPI registry since September 2025. The organization lists Jacey Meloy, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1134090061
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePROVISION HEALTH CARE LLC
Location Address525 W FAULKNER STEl Dorado, AR 71730-4518
Mailing AddressPo Box 510West Monroe, LA 71294-0510 · (318) 322-9252 · Fax (318) 322-2885
Phone(870) 337-2009
Organization SubpartYes
Authorized OfficialJacey MeloyPractice Manager · (318) 322-9252
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1134090061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
525 W FAULKNER ST, El Dorado, AR 71730
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CSS HEALTHCARE, LLC
Nurse Practitioner
525 W FAULKNER ST
EL DORADO, AR 71730
Union County (870) 639-3910
CHELSEA JO BOUNDS APRN, FNP-C
Nurse Practitioner (Family)
525 W FAULKNER ST
EL DORADO, AR 71730
Union County (870) 639-3910
COMPLIANCE & SCREENING SERVICES CSS
Clinic/Center (Occupational Medicine)
525 W FAULKNER ST
EL DORADO, AR 71730
Union County (870) 639-3910
TAYLOR NICOLE WAXLEY APRN
Nurse Practitioner
525 W FAULKNER ST
EL DORADO, AR 71730
Union County (318) 322-9252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provision Health Care LLC's NPI number?

The NPI number for Provision Health Care LLC is 1134090061. It was assigned to this organization in the NPPES registry on September 15, 2025.

Where is Provision Health Care LLC located?

Provision Health Care LLC is located at 525 W Faulkner St, El Dorado, AR 71730. The listed phone number is (870) 337-2009.

What is Provision Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Provision Health Care LLC was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.