Provider Demographics
NPI:1982482808
Name:MCCOOL, MARY KATHRYN (AGACNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:KATHRYN
Last Name:MCCOOL
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Gender:F
Credentials:AGACNP-BC
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Mailing Address - Street 1:9501 BAPTIST HEALTH DR STE 900
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6234
Mailing Address - Country:US
Mailing Address - Phone:501-219-0721
Mailing Address - Fax:501-224-0420
Practice Address - Street 1:9501 BAPTIST HEALTH DR STE 900
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6234
Practice Address - Country:US
Practice Address - Phone:501-219-0721
Practice Address - Fax:501-224-0420
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AR224828363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner