Provider Demographics
NPI:1760673875
Name:MCALISTER, DEBORAH ANN (CERTIFIED NURSE MIDW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ANN
Last Name:MCALISTER
Suffix:
Gender:F
Credentials:CERTIFIED NURSE MIDW
Other - Prefix:MS
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:MCALISTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CERTIFIED NURSE MIDW
Mailing Address - Street 1:1425 ROCK SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-8933
Mailing Address - Country:US
Mailing Address - Phone:870-741-1616
Mailing Address - Fax:870-741-2211
Practice Address - Street 1:1425 ROCK SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-8933
Practice Address - Country:US
Practice Address - Phone:870-741-1616
Practice Address - Fax:870-741-2211
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM02103367A00000X, 364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health