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Acadia Healthcare Inc

NPI 1710420286ActiveOrganization· Nurse Practitioner, Family· Kingman, AZ

Nurse Practitioner, Family in Kingman, Arizona, registered in NPPES in November 2016. The authorized official on file is Jeri Lynn Brock, DC, President.

Overview

NPI1710420286
StatusActive
Entity typeOrganization
NPI issuedNov 30, 2016
Last updated in NPPESNov 30, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000XAP7850AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner, Family providers in Kingman

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