STAMPS MEDICAL CLINIC
NPI 1962521617
Nurse Practitioner in Stamps, AR

Q: What is Gary L. Poole's NPI number?

The NPI number for Gary L. Poole is 1962521617. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Stamps Medical Clinic.

Q: What is Gary L. Poole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary L. Poole was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 27, 2007

218 CHURCH ST, STAMPS, AR 71860(870) 533-8808(870) 533-8838 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Stamps Medical Clinic NPPES

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

STAMPS MEDICAL CLINIC (NPI 1962521617) is a healthcare organization registered as a nurse practitioner in Stamps, Arkansas and active in the NPI registry since March 2007. The organization lists Gary L. Poole, Owner, as its authorized official.

NPPES Registry Identity

NPI1962521617

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameGARY L. POOLE

Location Address218 CHURCH STStamps, AR 71860-2816

Mailing Address218 Church StStamps, AR 71860-2816 · (870) 533-8808 · Fax (870) 533-8838

Phone(870) 533-8808

Fax(870) 533-8838

Organization SubpartNo

Authorized OfficialGary L. PooleOwner · (870) 533-8808

Enumeration DateMarch 27, 2007

Last NPPES UpdateJune 24, 2008

✔ NPI 1962521617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AR · AO1177

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

218 CHURCH ST, Stamps, AR 71860

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Other Names 1

Doing Business AsStamps Medical Clinic

Other Identifiers 7

Other5C958AR · Blue Cross And Blue Shiel

Other5J597AR · Bcbs

Medicare UPINS58900AR

Other1316914724Provider Individual Npi#

Medicare ID-Type Unspecified5U007AR

OtherP00115264Railroad Medicare

Medicaid150962762AR

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 6

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

MRS. DIANNE RENEE HARRISON FNP

Nurse Practitioner (Family)