Basic Information
Provider Information
NPI: 1801086194
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILYEU
FirstName: JANET
MiddleName: SUSAN
NamePrefix:  
NameSuffix:  
Credential: NURSE PRACTITIONER
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 370
Address2:  
City: SILOAM SPRINGS
State: AR
PostalCode: 727610370
CountryCode: US
TelephoneNumber: 8064402979
FaxNumber: 8062266703
Practice Location
Address1: 3721 HIGHWAY 412 E
Address2:  
City: SILOAM SPRINGS
State: AR
PostalCode: 727618010
CountryCode: US
TelephoneNumber: 4792153035
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/01/2007
LastUpdateDate: 09/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X529768TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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