Provider Demographics
NPI:1942876511
Name:LOYD, TWILA REGINA (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:TWILA
Middle Name:REGINA
Last Name:LOYD
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:TWILA
Other - Middle Name:R
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:AR
Mailing Address - Zip Code:71945-9729
Mailing Address - Country:US
Mailing Address - Phone:479-216-6156
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:870-584-1053
Practice Address - Fax:870-584-2087
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR215779363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR27538675Medicaid