Provider Demographics
NPI:1497123129
Name:DRISKILL, MICHELLE L (NP-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:DRISKILL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:L
Other - Last Name:LEMIEUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:PO BOX 15453
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72231-5453
Mailing Address - Country:US
Mailing Address - Phone:501-202-3638
Mailing Address - Fax:501-202-3639
Practice Address - Street 1:3333 SPRINGHILL DR
Practice Address - Street 2:SUITE 2002
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2922
Practice Address - Country:US
Practice Address - Phone:501-202-3638
Practice Address - Fax:501-202-3639
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004512364SG0600X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARA004512OtherMEDICAL LICENSE NUMBER