Provider Demographics
NPI:1659421527
Name:VETERANS HOSPITAL NORTH LITTLE ROCK
Entity Type:Organization
Organization Name:VETERANS HOSPITAL NORTH LITTLE ROCK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:501-257-1000
Mailing Address - Street 1:2713 JANET
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-2671
Mailing Address - Country:US
Mailing Address - Phone:501-776-3874
Mailing Address - Fax:
Practice Address - Street 1:2713 JANET
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-2671
Practice Address - Country:US
Practice Address - Phone:501-776-3874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAO1760273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit