Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Erin Jo Dodge, APRN

Individual provider Family Nurse Practitioner · NPI 1245683895

Erin Jo Dodge, APRN is a Nurse Practitioner in Russellville, Arkansas. Qualified in 2016, 10 years ago. Practices with St Marys Physician Services LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Licensed in
AR
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

101 Skyline Dr
Russellville, AR 72801-3395
Phone: (479) 968-2345
Fax: (479) 890-2467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A004708 (AR)

Record details

NPI number1245683895
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 19, 2016
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Marys Physician Services Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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