Provider Demographics
NPI:1780924423
Name:EFFREIN, REBECCA KEMPKES (APRN)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:KEMPKES
Last Name:EFFREIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:LEIGH
Other - Last Name:KEMPKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 BUCKLAND CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4534
Mailing Address - Country:US
Mailing Address - Phone:501-276-0979
Mailing Address - Fax:
Practice Address - Street 1:10802 EXECUTIVE CENTER DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211
Practice Address - Country:US
Practice Address - Phone:501-257-5080
Practice Address - Fax:501-244-1320
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-17
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR079317163W00000X
ARA003805363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse