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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. JUSTIN TEDFORD
NPI 1417861121
Licensed Practical Nurse in Van Buren, AR

Active since September 30, 2026
117 NORTHRIDGE DR E STE C, VAN BUREN, AR 72956(479) 474-4892 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Justin Tedford NPPES

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

MR. JUSTIN TEDFORD (NPI 1417861121) is an individual licensed practical nurse in Van Buren, Arkansas, licensed in Arkansas (214777) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1417861121
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. JUSTIN TEDFORD
Location Address117 NORTHRIDGE DR E STE CVan Buren, AR 72956-6983
Mailing Address117 Northridge Dr E Ste CVan Buren, AR 72956-6983 · (479) 474-4892
Phone(479) 474-4892
Sole ProprietorNo
Enumeration DateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1417861121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in AR · 214777
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
117 NORTHRIDGE DR E STE C, Van Buren, AR 72956
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Other Providers at the Same Location NPPES 16

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

JAMES ROBERT MEDLYN PTA
Physical Therapy Assistant
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956
Crawford County (479) 474-4892
OLIVIA HAWKINS
Registered Nurse (Case Management)
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956
Crawford County (479) 474-4892
WHITLEY DAWN STEWART RN
Registered Nurse (Home Health)
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956
Crawford County (479) 474-4892
PATRICIA DIANE TUDOR LPN
Licensed Practical Nurse
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956
Crawford County (479) 474-4892
COURTNEY WORD LPN
Licensed Practical Nurse
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956
Crawford County (479) 474-4892
AMEDISYS ARKANSAS, LLC
Home Health
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956
Crawford County (479) 474-4892
BECKI LYNN PARRISH
Registered Nurse
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956
Crawford County (479) 474-4892
CASSIE FRANKLIN
Licensed Practical Nurse
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956
Crawford County (479) 474-4892

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 Justin Tedford's NPI number?

The NPI number for Justin Tedford is 1417861121. It was assigned to this individual provider in the NPPES registry on September 30, 2026.

Where is Justin Tedford located?

Justin Tedford practices at 117 Northridge Dr E Ste C, Van Buren, AR 72956. The listed phone number is (479) 474-4892.

What is Justin Tedford's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Justin Tedford was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.