Provider Demographics
NPI:1356572705
Name:FINNEY, MERRITT NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:MERRITT
Middle Name:NICOLE
Last Name:FINNEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MERRITT
Other - Middle Name:FINNEY
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:10101 MABELVALE PLAZA DR STE 3
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-5932
Mailing Address - Country:US
Mailing Address - Phone:501-568-7868
Mailing Address - Fax:501-568-3035
Practice Address - Street 1:10101 MABELVALE PLAZA DR STE 3
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-5932
Practice Address - Country:US
Practice Address - Phone:501-568-7868
Practice Address - Fax:501-568-3035
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARTT1008363A00000X
ARPA411363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant