Provider Demographics
NPI:1952052375
Name:COLEMAN, RHONDA (DNP, APRN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21194
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71612-1194
Mailing Address - Country:US
Mailing Address - Phone:870-395-1285
Mailing Address - Fax:
Practice Address - Street 1:207 FRANKIE LN
Practice Address - Street 2:
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602-2683
Practice Address - Country:US
Practice Address - Phone:870-209-2676
Practice Address - Fax:870-341-6217
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-18
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR215795363LA2200X, 363L00000X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care