Provider Demographics
NPI:1770252850
Name:NURSE PRACTITIONERS OF ARKANSAS
Entity Type:Organization
Organization Name:NURSE PRACTITIONERS OF ARKANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAMELIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPB
Authorized Official - Phone:501-529-2255
Mailing Address - Street 1:PO BOX 241634
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-0012
Mailing Address - Country:US
Mailing Address - Phone:501-529-2255
Mailing Address - Fax:
Practice Address - Street 1:11039 STONEHILL DR
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:AR
Practice Address - Zip Code:72002-5003
Practice Address - Country:US
Practice Address - Phone:501-529-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center