Dr Edna Jacqueline Prince, MD - General Practice in Forrest City, AR

Dr Edna Jacqueline Prince, MD is a General Practice physician based in Forrest City, Arkansas. Dr Edna Jacqueline Prince is licensed to practice in Tennessee (license number 17426) and her current practice location is 1400 Dale Bumpers Road, Fcc Forrest City, Forrest City, Arkansas. She can be reached at her office (for appointments etc.) via phone at (870) 630-6000.

NPI number for Dr Edna Jacqueline Prince is 1225230402 and her current mailing address is 2093 Hallwood Dr, Memphis, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225230402.

Contact Information

Dr Edna Jacqueline Prince, MD
1400 Dale Bumpers Road, Fcc Forrest City,
Forrest City, AR 72336
(870) 630-6000
Not Available



Physician's Profile

Full NameDr Edna Jacqueline Prince
GenderFemale
SpecialityGeneral Practice
Location1400 Dale Bumpers Road, Forrest City, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225230402
  • Provider Enumeration Date: 06/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Edna Jacqueline Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225230402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 17426 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edna Jacqueline Prince is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Edna Jacqueline Prince, MD
2093 Hallwood Dr,
Memphis, TN 38107-4704

Ph: (901) 276-7169
Dr Edna Jacqueline Prince, MD
1400 Dale Bumpers Road, Fcc Forrest City,
Forrest City, AR 72336

Ph: (870) 630-6000

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General Practice Doctors in Forrest City, AR

Dr. Hipolito D. Matos, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 1301 Dale Bumpers Dr, Forrest City, AR 72335
Phone: 870-494-4200    

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