Provider Demographics
NPI:1972847218
Name:APPLIED RESEARCH CENTER OF ARKANSAS
Entity Type:Organization
Organization Name:APPLIED RESEARCH CENTER OF ARKANSAS
Other - Org Name:ARC XPRESS HEALTHCARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADVANCED NURSE PRACTITIONER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:501-954-7822
Mailing Address - Street 1:11524 N RODNEY PARHAM RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-4187
Mailing Address - Country:US
Mailing Address - Phone:501-954-7822
Mailing Address - Fax:888-269-8002
Practice Address - Street 1:11524 N RODNEY PARHAM RD
Practice Address - Street 2:SUITE 8
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-4187
Practice Address - Country:US
Practice Address - Phone:501-954-7822
Practice Address - Fax:888-269-8002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APPLIED RESEARCH CENTER OF ARKANSAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-26
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01224363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty