Provider Demographics
NPI:1528787959
Name:VOCQUE MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:VOCQUE MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:TABATHA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:VOCQUE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:870-329-0424
Mailing Address - Street 1:18614 PHILIS DR
Mailing Address - Street 2:
Mailing Address - City:HENSLEY
Mailing Address - State:AR
Mailing Address - Zip Code:72065-9781
Mailing Address - Country:US
Mailing Address - Phone:501-475-8021
Mailing Address - Fax:866-485-0549
Practice Address - Street 1:3012 E WOODSON LATERAL RD
Practice Address - Street 2:
Practice Address - City:HENSLEY
Practice Address - State:AR
Practice Address - Zip Code:72065-9169
Practice Address - Country:US
Practice Address - Phone:501-475-8021
Practice Address - Fax:866-485-0549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR272239758Medicaid