# ST VINCENT PHYSICIAN CLINICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134558398
- **Authorized official:** JAIME DENNIS (DIRECTOR-REVENUE CYCLE)
- **Authorized official phone:** (501) 224-1690

## Contact information

- **Practice address:** 16221 SAINT VINCENT WAY, LITTLE ROCK, AR 72223-9072
- **Practice address phone:** (501) 552-8150
- **Practice address fax:** (501) 552-8199
- **Mailing address:** 5125 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5315
- **Mailing address phone:** (501) 224-1690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/07/2013
- **Last updated:** 05/14/2025