| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1447656905 | JENKINS | SHAMAINE | 4171 N CROSSOVER RD | FAYETTEVILLE | AR | 727034591 | ||
| 1467857912 | REED | TAMBERLY | 4171 N CROSSOVER RD | FAYETTEVILLE | AR | 727034591 | ||
| 1194121640 | VAUGHN | PIERRE | 4171 N CROSSOVER RD | FAYETTEVILLE | AR | 727034591 |