EDNA J. PRINCE M.D. – NPI #1225230402
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

EDNA PRINCE is a physician located in FORREST CITY, AR. NPPES has assigned the NPI number 1225230402 to EDNA PRINCE on June 01, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDNA PRINCE below.

NPI Profile for
EDNA J. PRINCE

NPI Number
1225230402
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
EDNA J. PRINCE
Credentials
M.D.
Primary location
1400 DALE BUMPERS ROAD
FCC FORREST CITY
FORREST CITY, AR 72336
Phone: (870) 630-6000 Fax:
Mailing address
2093 HALLWOOD DR
MEMPHIS, TN 38107-4704
Phone: (901) 276-7169 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
TN 17426

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.