ALISSA WADDELL FNP
NPI 1275112468
Nurse Practitioner - Family in Texarkana, AR

Active since April 05, 2021
401 EAST ST, TEXARKANA, AR 71854(870) 216-1223 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alissa Waddell Fnp NPPES

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

ALISSA WADDELL FNP (NPI 1275112468) is an individual family provider in Texarkana, Arkansas, licensed in Arkansas (214732) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1275112468
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISSA WADDELLCredential: FNP
Location Address401 EAST STTexarkana, AR 71854-6507
Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534
Sole ProprietorYes
Enumeration DateApril 5, 2021
NPPES CertifiedFebruary 21, 2021
NPI 1275112468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · 214732
Also ListedFamily MedicineTaxonomy 207Q00000X · License 1021396 (TX)
401 EAST ST, Texarkana, AR 71854

Other Names 1

Professional Name (2)Alissa Waddell Fnp

Other Providers at the Same Location NPPES 6

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

Family Medicine
401 EAST ST
TEXARKANA, AR 71854
Nurse Practitioner (Family)
401 EAST ST
TEXARKANA, AR 71854
Nurse Practitioner (Family)
401 EAST ST
TEXARKANA, AR 71854
Family Medicine
401 EAST ST
TEXARKANA, AR 71854
Nurse Practitioner (Family)
401 EAST ST
TEXARKANA, AR 71854
Clinic/Center (Federally Qualified Health Center (FQHC))
401 EAST ST
TEXARKANA, AR 71854

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 Alissa Waddell's NPI number?

The NPI number for Alissa Waddell is 1275112468. It was assigned to this individual provider in the NPPES registry on April 5, 2021. The provider is also known as Alissa Waddell Fnp.

Where is Alissa Waddell located?

Alissa Waddell practices at 401 East St, Texarkana, AR 71854. The listed phone number is (870) 216-1223.

What is Alissa Waddell'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 Alissa Waddell was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.