Mrs. Jiva Marie Pate
Family Doctor - Adult Medicine
616 W Lee Ave
Osceola
, Arkansas 72370-3002
Mrs. Jiva Marie Pate
Family Doctor - Adult Medicine
616 W Lee Ave
Osceola
, Arkansas 72370-3002
(870) 576-4350
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Mrs. Jiva Marie Pate
- 616 W Lee Ave
- Osceola, AR
- Zip : 72370-3002
- Fax : (870) 576-4350
- Phone : (870) 563-2545
Second Address
- Mrs. Jiva Marie Pate
- 616 W Lee Ave
- Osceola, AR
- Zip : 72370-3002
- Fax : (870) 576-4350
- Phone : (870) 563-2545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | A005511 | AR |
National Provider Identifier
| NPI | 1053811752 |
|---|---|
| Provider Name | Mrs. Jiva Marie Pate |
| First Address | Osceola, AR 72370-3002 |
| Second Address | Osceola, AR 72370-3002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2018 |
| Last Update Date | 16/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.